Provider Demographics
NPI:1881976140
Name:HAMMOND, JAMES EDWARD (DMD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:EDWARD
Last Name:HAMMOND
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:335 E ALBERTONI ST
Mailing Address - Street 2:#200-634
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90746-1425
Mailing Address - Country:US
Mailing Address - Phone:562-426-6458
Mailing Address - Fax:
Practice Address - Street 1:3620 LONG BEACH BLVD
Practice Address - Street 2:SUITE B-6
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-4022
Practice Address - Country:US
Practice Address - Phone:562-426-6458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-13
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26416122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist