Individual
DR. TERRENCE THADDEUS HAMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD DENTIST
Contact information
Practice address
409 W MAIN ST, MARLOW, OK 73055
(580) 658-3619
(580) 658-3619
Mailing address
PO BOX 606, 409 W MAIN ST, MARLOW, OK 73055
(580) 658-3619
(580) 658-3619
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3105
OK
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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