Provider Demographics
NPI:1194870774
Name:HAMPTON, JOSEPH HURLEY (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:HURLEY
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 1:3305 STRAYER RD
Mailing Address - Street 2:
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-9532
Mailing Address - Country:US
Mailing Address - Phone:419-868-9059
Mailing Address - Fax:
Practice Address - Street 1:3305 STRAYER RD
Practice Address - Street 2:
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-9532
Practice Address - Country:US
Practice Address - Phone:419-868-9059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300160661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice