| Jimmie B Hammack Ddsapdc | |
|
305 Veterans Blvd Denham Springs LA 70726 | |
| (225) 664-3535 | |
| (225) 664-3552 |
| Full Name | Jimmie B Hammack Ddsapdc |
|---|---|
| Speciality | Dentist |
| Location | 305 Veterans Blvd, Denham Springs, Louisiana |
| Authorized Official Name and Position | Jimmie Bryant Hammack (OWNER) |
| Authorized Official Contact | 2256643535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jimmie B Hammack Ddsapdc 305 Veterans Blvd Denham Springs LA 70726-4722 Ph: (225) 664-3535 | Jimmie B Hammack Ddsapdc 305 Veterans Blvd Denham Springs LA 70726 Ph: (225) 664-3535 |
| NPI Number | 1801238654 |
|---|---|
| Provider Enumeration Date | 07/22/2013 |
| Last Update Date | 07/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801238654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2288 (Louisiana) | Primary |
| 122300000X | Dentist | 6357 (Louisiana) | Secondary |
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