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Individual

DR. FRANK HAMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
3067 N HIGHLAND AVE, JACKSON, TN 38305-3411
(731) 668-7916
Mailing address
17 BLOOMINGTON CV, JACKSON, TN 38305-7939
(731) 660-3658

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS3509
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0149768
COPR BCBS#
TN
01
0160856
BCBS INDIV #
TN
01
803388
UCCI ID#
TN
01
DS3509
LICENSE #
TN
Enumeration date
11/02/2006
Last updated
07/08/2007
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