Provider Demographics
NPI:1114047107
Name:HOWARD A HAMERINK DDS PC
Entity Type:Organization
Organization Name:HOWARD A HAMERINK DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:HAMERINK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:734-455-8686
Mailing Address - Street 1:159 S HARVEY ST
Mailing Address - Street 2:STE 1
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-3756
Mailing Address - Country:US
Mailing Address - Phone:734-455-8686
Mailing Address - Fax:734-455-8045
Practice Address - Street 1:159 S HARVEY ST
Practice Address - Street 2:STE 1
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-3756
Practice Address - Country:US
Practice Address - Phone:734-455-8686
Practice Address - Fax:734-455-8045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI11303122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty