Organization
FAIRHOPE PEDIATRIC DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM WELLS HAMMOCK DMD (OWNER/DENTIST)
(251) 928-5045
Entity
Organization
Contact information
Practice address
115 LOTTIE LN, FAIRHOPE, AL 36532-2995
(251) 928-5045
Mailing address
115 LOTTIE LN, FAIRHOPE, AL 36532-2995
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5316
AL
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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