Provider Demographics
NPI:1386774669
Name:STEVEN D. HAMMACK D.M.D.
Entity type:Organization
Organization Name:STEVEN D. HAMMACK D.M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:HAMMACK
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:256-332-6888
Mailing Address - Street 1:PO BOX 367
Mailing Address - Street 2:
Mailing Address - City:RUSSELLVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35653-0367
Mailing Address - Country:US
Mailing Address - Phone:256-332-6888
Mailing Address - Fax:256-332-9951
Practice Address - Street 1:531 SAINT CLAIR ST SE
Practice Address - Street 2:
Practice Address - City:RUSSELLVILLE
Practice Address - State:AL
Practice Address - Zip Code:35653-2719
Practice Address - Country:US
Practice Address - Phone:256-332-6888
Practice Address - Fax:256-332-9951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty