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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BROC HAMMON, D.M.D.

Active

BROC HAMMON, D.M.D. is a Oral & Maxillofacial Surgery healthcare provider located in SCOTT AFB, Illinois. NPI 1154720167 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · SCOTT AFB, IL

Registration Details

NPI Number
1154720167
Provider Type
Individual
Gender
Male
NPI Issued
Aug 14, 2014 (11.999962033762 yrs)
Last Updated
Feb 15, 2022
Licenses
019.032972 (IL)
9047230-9921 (UT)

Practice Information

Address
310 W LOSEY ST
SCOTT AFB, IL, 622255250
Browse IL providers · Browse ZIP 62225
Phone
6182569355
Fax
6182567018
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
Dentist

Other Oral & Maxillofacial Surgery Providers in SCOTT AFB, IL

Name Credential NPI
DR. TODD ALAN SCHULTZ D.M.D. 1003048224
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.