Provider Demographics
NPI:1962573485
Name:HAMBY, JAMES
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:HAMBY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4220 DAYTON BLVD
Mailing Address - Street 2:STE.C
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37415-2790
Mailing Address - Country:US
Mailing Address - Phone:423-877-3411
Mailing Address - Fax:423-877-4604
Practice Address - Street 1:5708 UPTAIN RD
Practice Address - Street 2:STE.100
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37411-5507
Practice Address - Country:US
Practice Address - Phone:423-894-3553
Practice Address - Fax:423-499-1938
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2794122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist