Organization
HAMPTON DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD ANDERSEN DMD (SOLE MEMBER)
(770) 542-8999
Entity
Organization
Contact information
Practice address
435 HIGHWAY 321, HAMPTON, TN 37658-3323
(770) 542-8999
Mailing address
435 HIGHWAY 321, HAMPTON, TN 37658-3323
(423) 896-7229
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/30/2020
Last updated
07/05/2022
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