Provider Demographics
NPI:1922503416
Name:DARIAN L HAMPTON DDS PA
Entity Type:Organization
Organization Name:DARIAN L HAMPTON DDS PA
Other - Org Name:THE HAMPTONS FAMILY & COSMETIC DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DARIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMPTON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-395-9292
Mailing Address - Street 1:3610 N JOSEY LN STE 104
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-3150
Mailing Address - Country:US
Mailing Address - Phone:972-395-9292
Mailing Address - Fax:972-492-1485
Practice Address - Street 1:3610 N JOSEY LN STE 104
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-3150
Practice Address - Country:US
Practice Address - Phone:972-395-9292
Practice Address - Fax:972-492-1485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-27
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23511261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental