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Individual

DR. PHILLIP DERRICK HAMPTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
2400 BELLEVUE RD, # 24 ERIN OFFICE PARK, DUBLIN, GA 31021-2885
(478) 275-2664
(478) 275-2665
Mailing address
PO BOX 650, DUBLIN, GA 31040-0650
(478) 275-2664
(478) 275-2665

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10895
GA

Other

Enumeration date
04/17/2007
Last updated
07/08/2007
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