Organization
JIMMIE B HAMMACK DDSAPDC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMMIE BRYANT HAMMACK DDS (OWNER)
(225) 664-3535
Entity
Organization
Contact information
Practice address
305 VETERANS BLVD, DENHAM SPRINGS, LA 70726
(225) 664-3535
(225) 664-3552
Mailing address
305 VETERANS BLVD, DENHAM SPRINGS, LA 70726-4722
(225) 664-3535
(225) 664-3552
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2288
LA
122300000X
Dentist
6357
LA
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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