Individual
DR. PAUL KIMBALL HARTMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1323 JAMESTOWN ROAD, WILLIAMSBURG, VA 23815-3367
(757) 253-2393
(757) 259-0433
Mailing address
732 THIMBLE SHOALS BLVD, SUITE 202B, NEWPORT NEWS, VA 23606-4262
(757) 595-8961
(757) 595-4784
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401006500
VA
1223G0001X
General Practice Dentistry
Primary
0428000093
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0438000093
VA
Other
Enumeration date
01/19/2006
Last updated
08/18/2011
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