Provider Demographics
NPI:1235303892
Name:JAMES C. HAMMACK DDS
Entity Type:Organization
Organization Name:JAMES C. HAMMACK DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:CURTIS
Authorized Official - Last Name:HAMMACK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:405-843-9731
Mailing Address - Street 1:2821 NW 57TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-7046
Mailing Address - Country:US
Mailing Address - Phone:405-843-9731
Mailing Address - Fax:405-843-9743
Practice Address - Street 1:2821 NW 57TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-7046
Practice Address - Country:US
Practice Address - Phone:405-843-9731
Practice Address - Fax:405-843-9743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK32681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty