Organization
OAK HAVEN DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY P HAMMOND DDS (DENTIST/OWNER)
(307) 857-2020
Entity
Organization
Contact information
Practice address
203 E MAIN ST, SUITE 205, RIVERTON, WY 82501-4350
(307) 857-2020
(307) 857-2727
Mailing address
203 E MAIN ST, SUITE 205, RIVERTON, WY 82501-4350
(307) 857-2020
(307) 857-2727
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1435
WY
Other
Enumeration date
03/17/2017
Last updated
03/17/2017
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