Individual provider · Type 1 NPI

Steven Philip Hackmyer, DDS

Pediatric Dentistry · Fort Defiance, AZ

NPI number 1548336597 Active

Practice location

Fort Defiance Indian Hospital, Corner Of Route N12 And N7
Fort Defiance, AZ 86504

Mailing address

PO Box 649
Fort Defiance, AZ 86504-0649

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XD009096 (AZ)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1548336597

Steven Philip Hackmyer, DDS's National Provider Identifier is 1548336597, issued on Nov 28, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Fort Defiance, AZ. The record was last updated on Oct 16, 2019.