Hampton Roads Family Dental

NPI #1932735305 in Hampton, Virginia

Provider Information

NPI Number: 1932735305
Entity Type: Organization
Organization Name: Hampton Roads Family Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 18, 2020
Last Updated: Mar 18, 2020

Practice Location

Address: 3709 KECOUGHTAN RD
City: Hampton
State: Virginia
ZIP Code: 23669-4405
Phone: (757) 722-8507

Authorized Official

Name: GWEN G NEWTON, BS
Title: ADMINISTRATOR
Phone: (757) 722-8507

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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