Eric Scott Hammack, DDS Valid NPI

Individual provider · General Practice Dentistry · Blackwell, OK

NPI

1992847438

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

5323 (OK)

Sex

Male

Sole proprietor

No

Enumerated

2007-02-13

Last updated

2007-07-08