Hampton, Justin Blake

Hampton, Justin Blake is an individual health care provider with primary practice located at 3324 Orion Dr , Ames IA 50010-4378. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hampton, Justin Blake can be contacted via phone (515) 232-2007.

Contact Information

Primary practice address
3324 Orion Dr Ames IA 50010-4378
Phone: (515) 232-2007
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8068 Iowa

Profile Details

NPI number 1992878193
LBN Legal business name Hampton, Justin Blake
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992878193 NPPES
Iowa MEDICAID 1186866

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