Provider Demographics
NPI:1336186519
Name:HAMMER, DELORES LYNN (DDS)
Entity Type:Individual
Prefix:DR
First Name:DELORES
Middle Name:LYNN
Last Name:HAMMER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:518 4TH ST SW
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-2823
Mailing Address - Country:US
Mailing Address - Phone:828-327-7502
Mailing Address - Fax:828-327-3202
Practice Address - Street 1:518 4TH ST SW
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-2823
Practice Address - Country:US
Practice Address - Phone:828-327-7502
Practice Address - Fax:828-327-3202
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5083122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist