Provider Demographics
NPI:1821349655
Name:HAMMER, DANIEL ALOYSIUS (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ALOYSIUS
Last Name:HAMMER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4528 GENOA CIR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462
Mailing Address - Country:US
Mailing Address - Phone:805-455-6057
Mailing Address - Fax:
Practice Address - Street 1:USS ABRAHAM LINCOLN CVN 72
Practice Address - Street 2:UNIT# 100349
Practice Address - City:FPO
Practice Address - State:AE
Practice Address - Zip Code:09520
Practice Address - Country:US
Practice Address - Phone:757-400-4023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-19
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8343735-9921122300000X
CA104841223S0112X
TX336081223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No122300000XDental ProvidersDentist