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STEVEN DALE HAMMACK D.M.D.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1609932581

Individual Registrant:
 STEVEN DALE HAMMACK D.M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
531 SAINT CLAIR ST SE  RUSSELLVILLE, AL 35653-2719 US
Tel: 256-332-6888  Fax: 256-332-9951

Contact information for business:
PO BOX 367  RUSSELLVILLE, AL 35653-0367 US
Tel: 256-332-6888  Fax: 256-332-9951

Registration Information:
NPI: 1609932581
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
AL3422

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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