Provider Demographics
NPI:1952353864
Name:HAMERINK, HOWARD ANDREW (DDS)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:ANDREW
Last Name:HAMERINK
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 1:159 S HARVEY ST
Mailing Address - Street 2:STE 1
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-1615
Mailing Address - Country:US
Mailing Address - Phone:734-455-8686
Mailing Address - Fax:734-455-8045
Practice Address - Street 1:159 S HARVEY ST
Practice Address - Street 2:STE 1
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-1615
Practice Address - Country:US
Practice Address - Phone:734-455-8686
Practice Address - Fax:734-455-8045
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901011303122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist