Provider Demographics
NPI:1942219407
Name:HUMMERT, CHRISTEL A (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTEL
Middle Name:A
Last Name:HUMMERT
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 1:372 MORRIS AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07081-1159
Mailing Address - Country:US
Mailing Address - Phone:973-379-4471
Mailing Address - Fax:973-379-4470
Practice Address - Street 1:372 MORRIS AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-1159
Practice Address - Country:US
Practice Address - Phone:973-379-4471
Practice Address - Fax:973-379-4470
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI022480001223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics