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NPI Code Detail

MEDICARE: DR. ANN HAMMI-BLUE D.D.S., M.S., P.C.

MEDICARE: DR. ANN HAMMI-BLUE D.D.S., M.S., P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0300XPeriodonticsD5379AZ

General Provider Information

NPI Number : 1174588941
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANN HAMMI-BLUE D.D.S., M.S., P.C.
Provider Business Mailing Address
First Line : 7725 N 43RD AVE
Second Line : SUITE 724
City : PHOENIX
State : AZ
Zip : 85051-5770
Country : US
Telephone Number : 623-934-1676
Fax Number : 623-934-6630
Provider Business Practice Location Address
First Line : 7725 N 43RD AVE
Second Line : SUITE 724
City : PHOENIX
State : AZ
Zip : 85051-5770
Country : US
Telephone Number : 623-934-1676
Fax Number : 623-934-6630
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2006
Last Update Date : 07/08/2007

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Directions to “ DR. ANN HAMMI-BLUE D.D.S., M.S., P.C.” Practice Location

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