Provider Demographics
NPI:1871683193
Name:HAMMOND, RONALD LEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:LEE
Last Name:HAMMOND
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 1:10 W BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:SAND SPRINGS
Mailing Address - State:OK
Mailing Address - Zip Code:74063-7624
Mailing Address - Country:US
Mailing Address - Phone:918-245-5226
Mailing Address - Fax:918-245-7959
Practice Address - Street 1:10 W BROADWAY ST
Practice Address - Street 2:
Practice Address - City:SAND SPRINGS
Practice Address - State:OK
Practice Address - Zip Code:74063-7624
Practice Address - Country:US
Practice Address - Phone:918-245-5226
Practice Address - Fax:918-245-7959
Is Sole Proprietor?:No
Enumeration Date:2006-10-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK48291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice