Provider Demographics
NPI:1235125774
Name:HAMAL, RUPA (DMD)
Entity Type:Individual
Prefix:DR
First Name:RUPA
Middle Name:
Last Name:HAMAL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1329 CHERRY WAY DR
Mailing Address - Street 2:STE 100
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-6780
Mailing Address - Country:US
Mailing Address - Phone:614-532-8755
Mailing Address - Fax:614-532-8756
Practice Address - Street 1:1329 CHERRY WAY DR STE 100
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-6780
Practice Address - Country:US
Practice Address - Phone:161-447-8334
Practice Address - Fax:614-478-3345
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-20
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH216291223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics