Provider Demographics
NPI:1114082765
Name:HAMMOND, TORREY R (DDS)
Entity Type:Individual
Prefix:
First Name:TORREY
Middle Name:R
Last Name:HAMMOND
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:970 CAMERADO DRIVE
Mailing Address - Street 2:STE 100
Mailing Address - City:CAMERON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:95682
Mailing Address - Country:US
Mailing Address - Phone:530-677-0723
Mailing Address - Fax:530-677-0366
Practice Address - Street 1:970 CAMERADO DRIVE
Practice Address - Street 2:STE 100
Practice Address - City:CAMERON PARK
Practice Address - State:CA
Practice Address - Zip Code:95682
Practice Address - Country:US
Practice Address - Phone:530-677-0723
Practice Address - Fax:530-677-0366
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA534561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice