Hammer, Larissa Gardner
Hammer, Larissa Gardner is an individual health care provider with primary practice located at 2162 S Lamar Blvd , Oxford MS 38655-5224. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Hammer, Larissa Gardner can be contacted via phone (662) 236-1969.Contact Information
Primary practice address
2162 S Lamar Blvd
Oxford MS 38655-5224
Phone: (662) 236-1969
Fax: (662) 513-5878
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3447-08 | Mississippi |
Profile Details
| NPI number | 1710180807 |
|---|---|
| LBN Legal business name | Hammer, Larissa Gardner |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2007 |
| Last updated | Mar 1st, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710180807 | NPPES |
| Mississippi | MEDICAID | 07458861 |
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