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Organization
HAMMER AND BRECHON DDS PC
Active
Organization
HAMMER AND BRECHON DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES P HAMMER DDS (DENTIST)
(641) 684-8636
Entity
Organization
Contact information
Practice address
1302 N ELM ST, OTTUMWA, IA 52501
(641) 684-8636
(641) 684-0686
Mailing address
1302 N ELM ST, OTTUMWA IA 52501, OTTUMWA, IA 52501
(641) 684-8636
(641) 684-0686
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4841
IA
122300000X
Dentist
7691
IA
122300000X
Dentist
Primary
7799
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0050442
—
IA
05
—
0105569
—
IA
05
—
0128546
—
IA
01
—
52241
BLUE CROSS BLUE SHIELD
IA
Enumeration date
10/24/2006
Last updated
08/22/2020
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