Individual
LARISSA GARDNER HAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2162 S LAMAR BLVD, OXFORD, MS 38655-5224
(662) 236-1969
(662) 513-5878
Mailing address
2162 S LAMAR BLVD, OXFORD, MS 38655-5224
(662) 236-1969
(662) 513-5878
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3447-08
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07458861
—
MS
Enumeration date
06/07/2007
Last updated
03/01/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us