| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10 S 300 E, Provo, Utah |
| Authorized Official Name and Position | Chris A Hammond (DR.) |
| Authorized Official Contact | 8013740070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
10 S 300 E Provo UT 84606-3201 Ph: (801) 374-0070 | 10 S 300 E Provo UT 84606-3201 Ph: (801) 374-0070 |
| NPI Number | 1114088044 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114088044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Utah) | Primary |
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