| Hammond Endodontics | |
|
104 S Spruce St Hammond LA 70403-4136 | |
| (985) 549-0794 | |
| Not Available |
| Full Name | Hammond Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 104 S Spruce St, Hammond, Louisiana |
| Authorized Official Name and Position | Joshua Don Beaver (OWNER) |
| Authorized Official Contact | 2253245077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hammond Endodontics 104 S Spruce St Hammond LA 70403-4136 Ph: (985) 549-0794 | Hammond Endodontics 104 S Spruce St Hammond LA 70403-4136 Ph: (985) 549-0794 |
| NPI Number | 1881261469 |
|---|---|
| Provider Enumeration Date | 06/10/2021 |
| Last Update Date | 07/06/2021 |
| Certification Date | 07/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881261469 | NPI | - | NPPES |
| 1859141 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | () | Primary |
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