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Organization
HAMTON ORAL & FACIAL SURGERY
Active
Organization
HAMTON ORAL & FACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY SCOTT TROTTER DDS (PRESIDENT)
(757) 838-3975
Entity
Organization
Contact information
Practice address
3000 COLISEUM DR, SUITE 204, HAMPTON, VA 23666-5963
(757) 838-3975
(757) 838-0120
Mailing address
3000 COLISEUM DR, SUITE 204, HAMPTON, VA 23666-5963
(757) 838-3975
(757) 838-0120
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401008539
VA
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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