Individual
DR. CHARLES P HAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1302 N ELM ST, OTTUMWA, IA 52501
(641) 684-8636
(641) 684-0686
Mailing address
1302 N ELM ST, OTTUMWA, IA 52501
(641) 684-8636
(641) 684-0686
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7799
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52241
BLUE CROSS BLUE SHIELD
IA
Enumeration date
10/24/2006
Last updated
07/08/2007
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