# HAMMOND DENTAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427509769
- **Authorized official:** IAN HOFFMAN DDS (OWNER)
- **Authorized official phone:** (773) 820-2587

## Contact information

- **Practice address:** 3109 WILLOWCREEK RD, PORTAGE, IN 46368-4423
- **Practice address phone:** (773) 820-2587
- **Mailing address:** 3109 WILLOWCREEK RD, PORTAGE, IN 46368-4423
- **Mailing address phone:** (773) 820-2587

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12011898B | IN | Yes |

## Other

- **Enumeration date:** 10/21/2016
- **Last updated:** 10/21/2016