Individual
DR. NICHOLAS L HAMMERMEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8961 STATE ROUTE 14 UNIT B, STREETSBORO, OH 44241-5625
(330) 422-1400
(330) 422-1460
Mailing address
8961 STATE ROUTE 14 UNIT B, STREETSBORO, OH 44241-5625
(330) 422-1400
(330) 422-1460
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30021019
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-1710440
TAX ID #
OH
05
—
2135040
—
OH
01
—
30. 021019
STATE LICENSE #
OH
Enumeration date
08/04/2006
Last updated
01/30/2014
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