Provider Demographics
NPI:1003998469
Name:HAMBY ORTHODONTICS
Entity Type:Organization
Organization Name:HAMBY ORTHODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:J.
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:HAMBY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:864-235-4840
Mailing Address - Street 1:870 CLEVELAND ST
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-4427
Mailing Address - Country:US
Mailing Address - Phone:864-235-4840
Mailing Address - Fax:864-752-0982
Practice Address - Street 1:870 CLEVELAND ST
Practice Address - Street 2:SUITE 1B
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29601-4427
Practice Address - Country:US
Practice Address - Phone:864-235-4840
Practice Address - Fax:864-752-0982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC37981223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty