Individual
DR. HEATHER WASHBURN HAMMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
130 EVERGREEN RD STE 100, LOUISVILLE, KY 40243-1480
(502) 410-1710
Mailing address
5100 OUTER LOOP STE C, LOUISVILLE, KY 40219-3023
(502) 969-9264
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
12012555A
IN
1223P0221X
Pediatric Dentistry
Primary
9801
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300002993
—
IN
Enumeration date
04/07/2016
Last updated
08/04/2022
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