Individual
DR. STEVEN PHILIP HACKMYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
FORT DEFIANCE INDIAN HOSPITAL, CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D009096
AZ
Other
Enumeration date
11/28/2006
Last updated
10/16/2019
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