Provider Demographics
NPI:1003212572
Name:HAMPTON FAMILY DENTISTRY
Entity Type:Organization
Organization Name:HAMPTON FAMILY DENTISTRY
Other - Org Name:A DIVISION OF ATLANTIC DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:LAGENE
Authorized Official - Last Name:HUTCHINGS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:757-827-7770
Mailing Address - Street 1:1817 TODDS LN
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-3124
Mailing Address - Country:US
Mailing Address - Phone:757-827-7770
Mailing Address - Fax:757-827-8867
Practice Address - Street 1:1817 TODDS LN
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-3124
Practice Address - Country:US
Practice Address - Phone:757-827-7770
Practice Address - Fax:757-827-8867
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ATLANTIC DENTAL CARE, PLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-11-11
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401411160122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty