Individual
ERIC SCOTT HAMMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
119 WEST BRIDGE, BLACKWELL, OK 74631-2800
(580) 363-4245
(580) 363-0082
Mailing address
119 WEST BRIDGE, BLACKWELL, OK 74631-2800
(580) 363-4245
(580) 363-0082
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5323
OK
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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