Provider Demographics
NPI:1316226731
Name:HAMMOND, RICHARD JEREMY (DMD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:JEREMY
Last Name:HAMMOND
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 FOUNTAIN PARK CIR
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31520-4860
Mailing Address - Country:US
Mailing Address - Phone:302-983-9707
Mailing Address - Fax:
Practice Address - Street 1:1301 FOUNTAIN PARK CIR
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520
Practice Address - Country:US
Practice Address - Phone:912-254-4450
Practice Address - Fax:912-266-8696
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-16
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRES30431223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery