Provider Demographics
NPI:1346319340
Name:HAMM, GEORGE L (DMD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:L
Last Name:HAMM
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 1:74 E CANAL ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17315-1502
Mailing Address - Country:US
Mailing Address - Phone:717-292-1081
Mailing Address - Fax:
Practice Address - Street 1:74 E CANAL ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:PA
Practice Address - Zip Code:17315-1502
Practice Address - Country:US
Practice Address - Phone:717-292-1081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADSO29-247L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice