Provider Demographics
NPI:1558347815
Name:HAMMOND, DANIEL J (DMD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:J
Last Name:HAMMOND
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
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Mailing Address - Street 1:310 N RIVERPOINT BLVD
Mailing Address - Street 2:BOX E
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-1610
Mailing Address - Country:US
Mailing Address - Phone:509-368-6550
Mailing Address - Fax:509-368-6514
Practice Address - Street 1:1260 SE BISHOP BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:PULLMAN
Practice Address - State:WA
Practice Address - Zip Code:99163-5451
Practice Address - Country:US
Practice Address - Phone:509-332-1509
Practice Address - Fax:509-334-6116
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2009-09-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WA65541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5013040Medicaid