Provider Demographics
NPI:1164607453
Name:HAMMEL, RICHARD DALE (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:DALE
Last Name:HAMMEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:V
Other - Last Name:HAMMEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OFFICE MANAGER
Mailing Address - Street 1:21645 COLLEGE BLVD
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061
Mailing Address - Country:US
Mailing Address - Phone:913-829-7000
Mailing Address - Fax:785-632-2948
Practice Address - Street 1:21645 COLLEGE BLVD
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061
Practice Address - Country:US
Practice Address - Phone:913-829-7000
Practice Address - Fax:785-632-2948
Is Sole Proprietor?:No
Enumeration Date:2008-01-04
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5354122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist