Provider Demographics
NPI:1013774751
Name:JOHN H HAMEL DDS PC
Entity Type:Organization
Organization Name:JOHN H HAMEL DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MGR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:L
Authorized Official - Last Name:HAMEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:770-426-9994
Mailing Address - Street 1:1781 BROOKSTONE WALK NW
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-7220
Mailing Address - Country:US
Mailing Address - Phone:678-386-4654
Mailing Address - Fax:
Practice Address - Street 1:1781 BROOKSTONE WALK NW
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-7220
Practice Address - Country:US
Practice Address - Phone:707-426-9994
Practice Address - Fax:770-426-0833
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOHN H HAMEL DDS PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1528146750OtherNPPES
GA1588216261OtherNPPES