# VIRGINIA DEPARTMENT OF HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hampton Health Department Dental Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407971864
- **Authorized official:** DR. LEN REAVES I DDS (DENTIST)
- **Authorized official phone:** (757) 727-1140

## Contact information

- **Practice address:** 1320 LASALLE AVE, HAMPTON, VA 23669-3801
- **Practice address phone:** (757) 727-1140
- **Mailing address:** 3130 VICTORIA BLVD, HAMPTON, VA 23661-1544
- **Mailing address phone:** (757) 727-1172
- **Mailing address fax:** (757) 727-1185

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | 0401005262 | VA | Yes |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 08/22/2020