| Hammond Dental Group Llc | |
|
3109 Willowcreek Rd Portage IN 46368-4423 | |
| (773) 820-2587 | |
| Not Available |
| Full Name | Hammond Dental Group Llc |
|---|---|
| Speciality | Dentist |
| Location | 3109 Willowcreek Rd, Portage, Indiana |
| Authorized Official Name and Position | Ian Hoffman (OWNER) |
| Authorized Official Contact | 7738202587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hammond Dental Group Llc 3109 Willowcreek Rd Portage IN 46368-4423 Ph: (773) 820-2587 | Hammond Dental Group Llc 3109 Willowcreek Rd Portage IN 46368-4423 Ph: (773) 820-2587 |
| NPI Number | 1427509769 |
|---|---|
| Provider Enumeration Date | 10/21/2016 |
| Last Update Date | 10/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427509769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12011898B (Indiana) | Primary |
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