Individual
JASON B HAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
203 7TH AVE S, NAMPA, ID 83651-3846
(208) 466-8400
(208) 466-8436
Mailing address
203 7TH AVE S, NAMPA, ID 83651-3846
(208) 466-8400
(208) 466-8436
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3819
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010159680
BLUE SHIELD OF ID
ID
01
—
1927603
UNITED CONCORDIA
PA
01
—
6N136
BLUE CROSS OF ID
ID
05
—
807635400
—
ID
Enumeration date
03/06/2007
Last updated
04/21/2015
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