Organization
BAY PEDIATRIC & ADOLESCENT DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM WELLS HAMMOCK DMD (OWNER)
(251) 928-5045
Entity
Organization
Contact information
Practice address
115 LOTTIE LN, FAIRHOPE, AL 36532-2995
(251) 928-5045
(251) 929-3335
Mailing address
115 LOTTIE LN, FAIRHOPE, AL 36532-2995
(251) 928-5045
(251) 929-3335
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529923190
—
AL
Enumeration date
02/06/2006
Last updated
02/19/2013
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