Provider Demographics
NPI:1720294218
Name:HAMPTON, WILLIAM (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
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 1:45 COUNTY ROAD 120
Mailing Address - Street 2:P.O. BOX 565
Mailing Address - City:SOUTH POINT
Mailing Address - State:OH
Mailing Address - Zip Code:45680-8824
Mailing Address - Country:US
Mailing Address - Phone:740-894-4652
Mailing Address - Fax:
Practice Address - Street 1:45 COUNTY ROAD 120
Practice Address - Street 2:U. S. 52 & MACEDONIA ROAD
Practice Address - City:SOUTH POINT
Practice Address - State:OH
Practice Address - Zip Code:45680-8824
Practice Address - Country:US
Practice Address - Phone:740-894-4652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0187631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0708998Medicaid