Individual
MYRON HAMPTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3767 28TH ST SE, GRAND RAPIDS, MI 49512-1873
(616) 233-2700
Mailing address
3767 28TH ST SE, GRAND RAPIDS, MI 49512-1873
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901600991
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
06/21/2021
Last updated
08/03/2021
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