Broc Hammon, DMD
Broc Hammon, DMD is an Oral and Maxillofacial Surgery (Dentist) in Scott AFB, Illinois. Licensed in Illinois and Utah. Registered with an NPI since 2014.
- Licensed in
- IL, UT
- In the registry since
- 2014
- Specialties on file
- 2
What do these letters mean?
- DMD — Doctor of Dental Medicine
- A dentist. Identical training and licensing to a DDS.
Practice location Address checks out
310 W Losey StScott AFB, IL 62225-5250
Phone: (618) 256-9355
Fax: (618) 256-7018
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X · Licence 019.032972 (IL) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence 9047230-9921 (UT) |
Record details
| NPI number | 1154720167 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DMD |
| Sole proprietor | No |
| NPI enumerated | August 14, 2014 |
| Last updated in NPPES | February 15, 2022 |
| Certification date | February 15, 2022 |
| Mailing address | 101 Bodin Cir, Travis Afb, CA 94535 |