| Hammond Dental Group | |
|
3302 Grove Ave Berwyn IL 60402-3421 | |
| (773) 542-1916 | |
| (773) 542-1910 |
| Full Name | Hammond Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 3302 Grove Ave, Berwyn, Illinois |
| Authorized Official Name and Position | Oladimeji Ogbara (PRESIDENT) |
| Authorized Official Contact | 3126785895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hammond Dental Group 3302 Grove Ave Berwyn IL 60402-3421 Ph: (773) 542-1916 | Hammond Dental Group 3302 Grove Ave Berwyn IL 60402-3421 Ph: (773) 542-1916 |
| NPI Number | 1376863373 |
|---|---|
| Provider Enumeration Date | 06/02/2010 |
| Last Update Date | 08/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376863373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12011374A (Illinois) | Primary |
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