Provider Demographics
NPI:1174588941
Name:HAMMI-BLUE, ANN (DDS, MS, PC)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:
Last Name:HAMMI-BLUE
Suffix:
Gender:F
Credentials:DDS, MS, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7725 N 43RD AVE
Mailing Address - Street 2:SUITE 724
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85051-5770
Mailing Address - Country:US
Mailing Address - Phone:623-934-1676
Mailing Address - Fax:623-934-6630
Practice Address - Street 1:7725 N 43RD AVE
Practice Address - Street 2:SUITE 724
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85051-5770
Practice Address - Country:US
Practice Address - Phone:623-934-1676
Practice Address - Fax:623-934-6630
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD53791223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics