# ALLAN C SUNDIN DDS MS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669455358
- **Authorized official:** MRS. SHIRLEY A SMITH (OFFICE MANAGER)
- **Authorized official phone:** (757) 425-1547

## Contact information

- **Practice address:** 2107 HARTFORD RD, HAMPTON, VA 23666-2407
- **Practice address phone:** (757) 838-0800
- **Practice address fax:** (757) 827-8532
- **Mailing address:** 2107 HARTFORD RD, HAMPTON, VA 23666-2407
- **Mailing address phone:** (757) 838-0800
- **Mailing address fax:** (757) 827-8532

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 111973R | VA | Yes |

## Other

- **Enumeration date:** 11/28/2005
- **Last updated:** 08/22/2020