Provider Demographics
NPI:1497136014
Name:HAMMER, BRIANNA B (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRIANNA
Middle Name:B
Last Name:HAMMER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:BRIANNA
Other - Middle Name:B
Other - Last Name:BERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:2765 KELLEY PARKWAY
Mailing Address - Street 2:SUITE 140
Mailing Address - City:ORONO
Mailing Address - State:MN
Mailing Address - Zip Code:55356
Mailing Address - Country:US
Mailing Address - Phone:952-449-9494
Mailing Address - Fax:952-449-9499
Practice Address - Street 1:2765 KELLEY PARKWAY
Practice Address - Street 2:SUITE 140
Practice Address - City:ORONO
Practice Address - State:MN
Practice Address - Zip Code:55356
Practice Address - Country:US
Practice Address - Phone:952-449-9494
Practice Address - Fax:952-449-9499
Is Sole Proprietor?:No
Enumeration Date:2015-06-10
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND135401223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice