# HAMPTON DENTAL GROUP

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

## Provider details

- **NPI number:** 1952914715
- **Authorized official:** BRAD ANDERSEN DMD (SOLE MEMBER)
- **Authorized official phone:** (770) 542-8999

## Contact information

- **Practice address:** 435 HIGHWAY 321, HAMPTON, TN 37658-3323
- **Practice address phone:** (770) 542-8999
- **Mailing address:** 435 HIGHWAY 321, HAMPTON, TN 37658-3323
- **Mailing address phone:** (423) 896-7229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/30/2020
- **Last updated:** 07/05/2022