Provider Demographics
NPI:1720133176
Name:HAMMOND, RONALD LYNN (DDS)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:LYNN
Last Name:HAMMOND
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 1:1020 SOUTHAMPTON DR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:IN
Mailing Address - Zip Code:46733-1049
Mailing Address - Country:US
Mailing Address - Phone:260-724-8410
Mailing Address - Fax:260-724-0474
Practice Address - Street 1:1020 SOUTHAMPTON DR
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:IN
Practice Address - Zip Code:46733-1049
Practice Address - Country:US
Practice Address - Phone:260-724-8410
Practice Address - Fax:260-724-0474
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN120077781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice