Active NPI
Phillip Derrick Hampton, D.M.D.
- Dentist
- Dublin, GA
National Provider Identifier
1710103197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10895
- Practice address
- 2400 Bellevue Rd
# 24 Erin Office Park
Dublin, GA 31021-2885 - Phone
- (478) 275-2664
- Fax
- (478) 275-2665
- NPI assigned
- Apr 17, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10895 | GA | Primary |
Addresses
Primary practice location
2400 Bellevue Rd
# 24 Erin Office Park
Dublin, GA 31021-2885
Mailing address
PO Box 650
Dublin, GA 31040-0650
Phone (478) 275-2664
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10895 | GA | MD | Orthopaedic Surgery Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Artistic Smiles of Dublin
- General Practice Dentistry
- Dublin, GA
- NPI 1457759508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710103197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 650",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310400650",
"telephone_number": "478-275-2664",
"fax_number": "478-275-2665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 BELLEVUE RD",
"address_2": "# 24 ERIN OFFICE PARK",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310212885",
"telephone_number": "478-275-2664",
"fax_number": "478-275-2665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMPTON",
"first_name": "PHILLIP",
"middle_name": "DERRICK",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "10895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, GA
- Cameron Boyle Hall, RD, LD
- Debra Lee Hall, FNP
- Janetta Quin Hall, RN
- Maria Danielle Hall, SPEECH PATHOLOGIST
- Joni O Hamilton, O.T.
- Iroshan Sashika Handapangoda, MD
- Hanger Prosthetics & Orthotics Inc (Hanger Clinic)
- Paul Gregory Hansen Jr., PHARM.D.
- Patrick Groves Hanson, M.D.
- Joseph T Hardman III, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.