Organization
HAMMOND FAMILY DENTISTRY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RON L HAMMOND D.D.S. (DENTIST)
(918) 245-5226
Entity
Organization
Contact information
Practice address
10 W BROADWAY ST, SAND SPRINGS, OK 74063-7624
(918) 245-5226
(918) 245-7959
Mailing address
10 W BROADWAY ST, SAND SPRINGS, OK 74063-7624
(918) 245-5226
(918) 245-7959
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4829
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871683193
TYPE 1-INDIVIDUAL NPI
OK
Enumeration date
06/10/2010
Last updated
06/10/2010
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