Ham & Lacy Dental Group, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HAM & LACY DENTAL GROUP, LLC

Practice address

10425 N Oracle Rd Ste 125
Oro Valley, AZ 85737-9360

Phone

(520) 404-9425

NPI assigned

Jan 13, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Sean Ham, DDSNPI 1659825255

Title

Manager and Member

Phone

(520) 404-9425

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sean Brian Ham, DDS

  • Dentist
  • Oro Valley, AZ
  • NPI 1659825255
  NPD Authorized official

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1336738319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10425 N ORACLE RD STE 125",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857379360",
            "telephone_number": "520-404-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10425 N ORACLE RD STE 125",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857379360",
            "telephone_number": "520-404-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAM & LACY DENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "HAM",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "MANAGER AND MEMBER",
        "authorized_official_telephone_number": "520-404-9425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1659825255",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruby Lynn Guyot, P.T.
• Dennis Gyllenhaal, PT
• Joyce A Hagin, D.M.D.
• Halgan Group LLC
• Ann Elizabeth Hall, LPC
• Sean Brian Ham, DDS
• Rose Marie Hamway, PH.D.
• Amarissa Handy, RD
• Hanger Prosthetics & Orthotics West Inc
• Deborah Hanks, FNP

• Dental Clinic/Center in Oro Valley, AZ
• Providers in Oro Valley, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.