Provider Demographics
NPI:1699968537
Name:HAMPTON, DARIAN LAMONT (DDS)
Entity type:Individual
Prefix:DR
First Name:DARIAN
Middle Name:LAMONT
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 1:3610 N JOSEY LN
Mailing Address - Street 2:SUITE 104
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-3100
Mailing Address - Country:US
Mailing Address - Phone:972-395-9292
Mailing Address - Fax:
Practice Address - Street 1:3610 N JOSEY LN
Practice Address - Street 2:SUITE 104
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-3100
Practice Address - Country:US
Practice Address - Phone:972-395-9292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-23
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX235111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice