Provider Demographics
NPI:1912195264
Name:HAMPTON FAMILY DENTAL
Entity Type:Organization
Organization Name:HAMPTON FAMILY DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAYED
Authorized Official - Middle Name:AL
Authorized Official - Last Name:MOUSAWI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:603-929-3969
Mailing Address - Street 1:321 LAFAYETTE RD UNIT B
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03842-2158
Mailing Address - Country:US
Mailing Address - Phone:617-832-5809
Mailing Address - Fax:603-929-3997
Practice Address - Street 1:321 LAFAYETTE RD UNIT B
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03842-2158
Practice Address - Country:US
Practice Address - Phone:603-929-3969
Practice Address - Fax:603-929-3997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-11
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty