Individual
DR. MIEKE JONELLE HAMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
119 S AIRLINE HWY, GONZALES, LA 70737-3633
(225) 308-3435
Mailing address
119 S AIRLINE HWY, GONZALES, LA 70737-3633
(225) 308-3435
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
063530
NY
122300000X
Dentist
22DI02961400
NJ
122300000X
Dentist
Primary
7577
LA
122300000X
Dentist
DS045005
PA
Other
Enumeration date
06/17/2022
Last updated
04/22/2025
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