Brian A Hamann, DDS
Individual provider Active NPI General Practice Dentistry · Clinton, WI
NPI 1629237342 · NPPES record last updated Jun 6, 2008
Key facts
- NPI
- 1629237342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 5461 (WI)
- Practice address
- 301 Allen St
Clinton, WI 53525 - Phone
- (608) 676-5415
- Fax
- (608) 676-5733
- NPI assigned
- Jun 6, 2008
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5461 | WI | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5461 | WI | Yes |
Addresses
Primary practice location
301 Allen St
Clinton, WI 53525
Mailing address
301 Allen St PO Box 78
Gentle Family Dentistry
Clinton, WI 53525
Phone (608) 676-5415
Other providers in Clinton, WI
- Brian D Dittmann
- C Jean Dittmann
- Ashley Ann Furman
- Generations Care Partners Corporation Dba Caring Senior Service Milwau
- Erin Grenawalt
- Treasa Hendrickson
- Brooke Johansen
- Heather Lynn Kluck
- Alex Marchillo
- Tina Neisius
All providers in Clinton, WI · General Practice 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 Jun 6, 2008. 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.