Provider Demographics
NPI:1528441557
Name:HAMEL, BRIAN PATRICK (DMD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:PATRICK
Last Name:HAMEL
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 1:901 E SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:IL
Mailing Address - Zip Code:62629-9665
Mailing Address - Country:US
Mailing Address - Phone:815-721-9710
Mailing Address - Fax:
Practice Address - Street 1:3240 HEDLEY RD STE B
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62711-6360
Practice Address - Country:US
Practice Address - Phone:217-698-3400
Practice Address - Fax:217-698-3410
Is Sole Proprietor?:No
Enumeration Date:2015-07-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.030204122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist