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NPI Code Detail

MEDICARE: DR. JOHN ERIC HAMMEN DMD

MEDICARE:  DR. JOHN ERIC HAMMEN  DMD
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
11223S0112XOral and Maxillofacial Surgery (Dentist)8320KY
2122300000XDentist8320KY

General Provider Information

NPI Number : 1770546954
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN ERIC HAMMEN DMD
Provider Business Mailing Address
First Line : 2816 VEACH ROAD
Second Line :
City : OWENSBORO
State : KY
Zip : 42303-6295
Country : US
Telephone Number : 270-926-6100
Fax Number : 270-926-6195
Provider Business Practice Location Address
First Line : 2816 VEACH RD
Second Line :
City : OWENSBORO
State : KY
Zip : 42303-6295
Country : US
Telephone Number : 270-926-6100
Fax Number : 270-926-6195
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2006
Last Update Date : 05/15/2008

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Directions to “ DR. JOHN ERIC HAMMEN DMD” Practice Location

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