David Picadizo Hamm, DDS, MS
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Madison, WI
NPI 1053730002 · NPPES record last updated Oct 21, 2021
Key facts
- NPI
- 1053730002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 1001201-15 (WI)
- Practice address
- 4801 Cottage Grove Rd
Madison, WI 53716-1349 - Phone
- (608) 222-6377
- NPI assigned
- Apr 7, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1001201-15 | WI | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry |
1223X0400X | 1001201-15 | WI | Yes |
Addresses
Primary practice location
4801 Cottage Grove Rd
Madison, WI 53716-1349
Mailing address
4801 Cottage Grove Rd
Madison, WI 53716-1349
Phone (608) 222-6377
Other practice location 1
2408 Montana Ave
Sun Prairie, WI 53590-1617
Phone (608) 222-6377
Other practice location 2
111 Warren St Ste A
Beaver Dam, WI 53916-3084
Phone (608) 222-6377
Other providers in Madison, WI
- Abby L Hamilton
- Breiona Hamilton
- David Hamilton
- Ian Stewart Hamilton
- John W Hamilton
- Emily Hamm
- Emily H Hamm
- Jeffrey L Hamm
- Kelsey Hamm
- Laura L Hammel
All providers in Madison, WI · Orthodontics and Dentofacial Orthopedics Dentistry in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.