Provider Demographics
NPI:1134678592
Name:HAMMAKER, BARBARA G (CRDH)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:G
Last Name:HAMMAKER
Suffix:
Gender:F
Credentials:CRDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4711 NE 15TH TER
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33334-4217
Mailing Address - Country:US
Mailing Address - Phone:954-260-4350
Mailing Address - Fax:
Practice Address - Street 1:4711 NE 15TH TER
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334-4217
Practice Address - Country:US
Practice Address - Phone:954-260-4350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-27
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDH0004426124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist