Provider Demographics
NPI:1730522517
Name:HAMPTON, ROBERT ROY III (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ROY
Last Name:HAMPTON
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3780 HAGEN RD
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-3845
Mailing Address - Country:US
Mailing Address - Phone:707-251-9331
Mailing Address - Fax:
Practice Address - Street 1:6525 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:YOUNTVILLE
Practice Address - State:CA
Practice Address - Zip Code:94599-1300
Practice Address - Country:US
Practice Address - Phone:707-944-8806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-11
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA208731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice