| Hammond Dental Group Llc | |
|
6414 Calumet Ave Hammond IN 46324 | |
| (219) 595-9566 | |
| Not Available |
| Full Name | Hammond Dental Group Llc |
|---|---|
| Speciality | Dentist |
| Location | 6414 Calumet Ave, Hammond, Indiana |
| Authorized Official Name and Position | Ian William Hoffman (PRESIDENT) |
| Authorized Official Contact | 2195959566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hammond Dental Group Llc 6414 Calumet Ave Hammond IN 46324 Ph: (219) 595-9566 | Hammond Dental Group Llc 6414 Calumet Ave Hammond IN 46324 Ph: (219) 595-9566 |
| NPI Number | 1770928509 |
|---|---|
| Provider Enumeration Date | 05/07/2013 |
| Last Update Date | 05/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770928509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12011898A (Indiana) | Primary |
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