Provider Demographics
NPI:1295717437
Name:CONTRACTOR, HAMIR DHARNIDHAR (DDS)
Entity type:Individual
Prefix:DR
First Name:HAMIR
Middle Name:DHARNIDHAR
Last Name:CONTRACTOR
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 1:1194 WOODMORE DR NW
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37311-1563
Mailing Address - Country:US
Mailing Address - Phone:423-478-2504
Mailing Address - Fax:
Practice Address - Street 1:393 COUNTY RD 559
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:TN
Practice Address - Zip Code:37303
Practice Address - Country:US
Practice Address - Phone:423-745-7431
Practice Address - Fax:423-744-1604
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN80841223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3633685Medicaid