| E. M. Hammon, Jr., D. D.s., P.c. | |
|
4841 Hixson Pike Suite E Hixson TN 37343-4431 | |
| (423) 877-5242 | |
| (423) 877-5261 |
| Full Name | E. M. Hammon, Jr., D. D.s., P.c. |
|---|---|
| Speciality | Dentist |
| Location | 4841 Hixson Pike, Hixson, Tennessee |
| Authorized Official Name and Position | Enoch Matison Hammon (CORPORATION PRESIDENT) |
| Authorized Official Contact | 4236671038 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| E. M. Hammon, Jr., D. D.s., P.c. 4841 Hixson Pike Suite E Hixson TN 37343-4431 Ph: (423) 877-5242 | E. M. Hammon, Jr., D. D.s., P.c. 4841 Hixson Pike Suite E Hixson TN 37343-4431 Ph: (423) 877-5242 |
| NPI Number | 1073744306 |
|---|---|
| Provider Enumeration Date | 08/04/2009 |
| Last Update Date | 08/04/2009 |
| Medicare PECOS PAC ID | 5597819516 |
|---|---|
| Medicare Enrollment ID | O20090810000696 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073744306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 01872 (Tennessee) | Primary |
| Provider Name | Enoch M Hammon |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1679684005 PECOS PAC ID: 4688728603 Enrollment ID: I20090810000695 |
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