Basic Information
| Provider Information | |||||||||
| NPI: | 1639395726 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HAMM AND DAY DENTISTRY PARTNERSHIP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4501 S. MATLOCK | ||||||||
| Address2: | SUITE 301 | ||||||||
| City: | ARLINGTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 76018 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8174720888 | ||||||||
| FaxNumber: | 8174729753 | ||||||||
| Practice Location | |||||||||
| Address1: | 4501 MATLOCK RD | ||||||||
| Address2: | SUITE 301 | ||||||||
| City: | ARLINGTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 760181004 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8174720888 | ||||||||
| FaxNumber: | 8174729753 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/17/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | EAKIN | ||||||||
| AuthorizedOfficialFirstName: | VIRGINIA | ||||||||
| AuthorizedOfficialMiddleName: | ARLENE | ||||||||
| AuthorizedOfficialTitleorPosition: | BUSINESS ADMINISTRATOR | ||||||||
| AuthorizedOfficialTelephone: | 8174720888 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 122300000X | Y | 193200000X MULTI-SPECIALTY GROUP | Dental Providers | Dentist |
No ID Information.