Provider Demographics
NPI:1366332280
Name:HAMREN, LANDON JOHN (DMD)
Entity type:Individual
Prefix:
First Name:LANDON
Middle Name:JOHN
Last Name:HAMREN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2782 2ND ST NE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-1469
Mailing Address - Country:US
Mailing Address - Phone:828-267-6858
Mailing Address - Fax:828-267-6860
Practice Address - Street 1:600 MALCOLM BLVD
Practice Address - Street 2:
Practice Address - City:CONNELLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:28612-0121
Practice Address - Country:US
Practice Address - Phone:828-522-9995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14244122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist