Provider Demographics
NPI:1932117694
Name:HAMMERICK, PAULA (DMD)
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:
Last Name:HAMMERICK
Suffix:
Gender:F
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:PO BOX 490
Mailing Address - Street 2:239 LAKE ROAD
Mailing Address - City:WILTON
Mailing Address - State:ME
Mailing Address - Zip Code:04294-0490
Mailing Address - Country:US
Mailing Address - Phone:207-778-2727
Mailing Address - Fax:
Practice Address - Street 1:145 MAIN ST
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:ME
Practice Address - Zip Code:04938-1924
Practice Address - Country:US
Practice Address - Phone:207-778-2727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME34531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice