Provider Demographics
NPI:1851968002
Name:HAMPTON, KYLE JEFFERY (DDS)
Entity Type:Individual
Prefix:DR
First Name:KYLE
Middle Name:JEFFERY
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 1:11211 W 64TH TER APT 309
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66203-3375
Mailing Address - Country:US
Mailing Address - Phone:913-709-1683
Mailing Address - Fax:
Practice Address - Street 1:8033 W 159TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66223-2914
Practice Address - Country:US
Practice Address - Phone:913-215-9664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-07
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS618301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice