# HAMPTON ROADS FAMILY DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hampton Roads Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932735305
- **Authorized official:** GWEN G NEWTON BS (ADMINISTRATOR)
- **Authorized official phone:** (757) 722-8507

## Contact information

- **Practice address:** 3709 KECOUGHTAN RD, HAMPTON, VA 23669-4405
- **Practice address phone:** (757) 722-8507
- **Mailing address:** 3709 KECOUGHTAN RD, HAMPTON, VA 23669-4405
- **Mailing address phone:** (757) 722-8507

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/18/2020
- **Last updated:** 03/18/2020