Organization
WILLIAM D. HAMMERLEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM DALE HAMMERLEE JR. DMD (DENTIST/OWNER)
(814) 868-3647
Entity
Organization
Contact information
Practice address
5158 PEACH ST, ERIE, PA 16509-2489
(814) 868-3647
(814) 864-2715
Mailing address
5158 PEACH ST, ERIE, PA 16509-2489
(814) 868-3647
(814) 864-2715
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025076000001
—
PA
01
—
121828
UNITED CONCORDIA
PA
01
—
2148
UPMC FOR YOU
PA
Enumeration date
10/24/2012
Last updated
10/24/2012
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