Provider Demographics
NPI:1548556756
Name:HAMPTON, TRAVIS GEORGE (DDS)
Entity Type:Individual
Prefix:
First Name:TRAVIS
Middle Name:GEORGE
Last Name:HAMPTON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:238 SADDLETREE RD
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27565-3466
Mailing Address - Country:US
Mailing Address - Phone:252-432-7705
Mailing Address - Fax:919-693-9559
Practice Address - Street 1:1215 SE INDUSTRY DR
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NC
Practice Address - Zip Code:27565-5023
Practice Address - Country:US
Practice Address - Phone:919-693-9555
Practice Address - Fax:919-693-9559
Is Sole Proprietor?:No
Enumeration Date:2011-06-27
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9352122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist