Individual
DR. DEREK BRIAN HAMMELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10699 DREXTON PL, NEWBURGH, IN 47630-8795
(812) 774-0020
Mailing address
10699 DREXTON PL, NEWBURGH, IN 47630-8795
(812) 774-0020
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12014114A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
NE
Other
Enumeration date
04/18/2023
Last updated
06/05/2023
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