Hammond Spencer Waddell, R.D.H.

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH006199 Issued in GA

Practice address

341 Ponce de Leon Ave NE
Atlanta, GA 30308-2012

Phone

(404) 616-9772

NPI assigned

Jun 27, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309910400000",
    "number": "1174720825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 SANDEN FERRY DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333346",
            "telephone_number": "770-696-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 PONCE DE LEON AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082012",
            "telephone_number": "404-616-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADDELL",
        "first_name": "HAMMOND",
        "middle_name": "SPENCER",
        "credential": "R.D.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2011-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "GA",
            "license": "DH006199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Leigh Vyverberg, N.P.
• Susan J Wachler, MSW
• Daniel Wachtel, PSY.D.
• Hunter Wacik
• Kevin Jospeh Wack, JD, MA, MTS
• Karen Waddell, MS, RN, CNS-PMH
• Payton Rebecca Waddell, PA
• Deborah Marie Waddington, O.D.
• Van Schroder Waddy, M.ED.
• Christopher Wade

• Dental Hygienist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Dental Hygienist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.