Healthcare Provider Details

I. General information

NPI: 1457717282
Provider Name (Legal Business Name): MRS. DENISE HAMMITT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2016
Last Update Date: 01/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28237 NEWHALL RANCH RD
VALENCIA CA
91355-0986
US

IV. Provider business mailing address

18306 OAK CANYON RD APT 131
CANYON COUNTRY CA
91387-6383
US

V. Phone/Fax

Practice location:
  • Phone: 661-257-4242
  • Fax: 661-294-0020
Mailing address:
  • Phone: 661-299-6613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code126800000X
TaxonomyDental Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: