MEDICARE: VOYAGEURS DENTAL OFFICES PLLC

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
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1780526855
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VOYAGEURS DENTAL OFFICES PLLC

Provider Business Mailing Address
First Line	:	501 3RD ST
Second Line	:
City	:	INTERNATIONAL FALLS
State	:	MN
Zip	:	56649-2305
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 3RD ST
Second Line	:
City	:	INTERNATIONAL FALLS
State	:	MN
Zip	:	56649-2305
Country	:	US
Telephone Number	:	218-285-7822
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	DR. KYLE HAMMER
Credential	:	DDS
Telephone Number	:	218-348-4012

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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