# HAMTON ORAL & FACIAL SURGERY

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

## Provider details

- **NPI number:** 1811352198
- **Authorized official:** DR. BRADLEY SCOTT TROTTER DDS (PRESIDENT)
- **Authorized official phone:** (757) 838-3975

## Contact information

- **Practice address:** 3000 COLISEUM DR, SUITE 204, HAMPTON, VA 23666-5963
- **Practice address phone:** (757) 838-3975
- **Practice address fax:** (757) 838-0120
- **Mailing address:** 3000 COLISEUM DR, SUITE 204, HAMPTON, VA 23666-5963
- **Mailing address phone:** (757) 838-3975
- **Mailing address fax:** (757) 838-0120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 0401008539 | VA | Yes |

## Other

- **Enumeration date:** 12/30/2015
- **Last updated:** 12/30/2015