Provider Demographics
NPI:1174605521
Name:HAMBY, J. BRIAN (DMD)
Entity type:Individual
Prefix:DR
First Name:J.
Middle Name:BRIAN
Last Name:HAMBY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:870 CLEVELAND ST
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-4427
Mailing Address - Country:US
Mailing Address - Phone:864-235-4840
Mailing Address - Fax:864-752-0982
Practice Address - Street 1:870 CLEVELAND ST
Practice Address - Street 2:SUITE 1B
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29601-4427
Practice Address - Country:US
Practice Address - Phone:864-235-4840
Practice Address - Fax:864-752-0982
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC37981223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics