# HAMMOND DENTAL GROUP LLC

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

## Provider details

- **NPI number:** 1770928509
- **Authorized official:** IAN WILLIAM HOFFMAN D.D.S. (PRESIDENT)
- **Authorized official phone:** (219) 595-9566

## Contact information

- **Practice address:** 6414 CALUMET AVE, HAMMOND, IN 46324
- **Practice address phone:** (219) 595-9566
- **Mailing address:** 6414 CALUMET AVE, HAMMOND, IN 46324
- **Mailing address phone:** (219) 595-9566

## Taxonomy

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

## Other

- **Enumeration date:** 05/07/2013
- **Last updated:** 05/07/2013