Hammond Dental Group
Dentist in Berwyn, IL. Organization (NPI-2).
NPI number1376863373
StatusActive
Last updated in NPPESAug 28, 2023
Details
- NPI
- 1376863373
- Entity type
- Organization (NPI-2)
- Legal business name
- Hammond Dental Group
- Organization subpart
- No
- Enumeration date
- Jun 2, 2010
- Certification date
- Aug 28, 2023
- Last updated
- Aug 28, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 12011374A | IL | Yes |
Practice location
3302 Grove AveBerwyn, IL 60402-3421
Phone 773-542-1916 · Fax 773-542-1910
Mailing address
3302 Grove AveBerwyn, IL 60402-3421
Phone 773-542-1916 · Fax 773-542-1910
Authorized official
Oladimeji Ogbara
President
3126785895
Is something wrong?
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