Healthcare Provider Details

I. General information

NPI: 1710803465
Provider Name (Legal Business Name): DANA HAMDAN DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10012 CALUMET AVE STE B
MUNSTER IN
46321-4055
US

IV. Provider business mailing address

10513 CAPISTRANO LN
ORLAND PARK IL
60467-8250
US

V. Phone/Fax

Practice location:
  • Phone: 219-319-5159
  • Fax: 219-319-5159
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number019.037213
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: