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Search › Idaho › General Practice Dentistry

Blaine Hammond, DMD

NPI 1295021632 · on the registry since 2011

Practice

Address
640 S Woodruff Ave
Idaho Falls, ID 83401
Phone
(208) 523-5400
Fax
(208) 528-0565
Organisation at this address
Salt Lake City Vamc
Eagle Rock Dental Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-06-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho