Provider Demographics
NPI:1649250663
Name:SAMPSON, DENNIS GREGORY (DDS)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:GREGORY
Last Name:SAMPSON
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NAVY MEDICINE READINESS AND TRAINING UNIT KINGS BAY
Mailing Address - Street 2:881 USS JAMES MADISON RD, BLDG 1028
Mailing Address - City:KINGS BAY
Mailing Address - State:GA
Mailing Address - Zip Code:31547
Mailing Address - Country:US
Mailing Address - Phone:912-573-4230
Mailing Address - Fax:
Practice Address - Street 1:315 MCHUGH BLVD
Practice Address - Street 2:2D DENTAL BATTALION/ NAVAL DENTAL CENTER
Practice Address - City:CAMP LEJEUNE
Practice Address - State:NC
Practice Address - Zip Code:28547-2511
Practice Address - Country:US
Practice Address - Phone:910-451-2208
Practice Address - Fax:910-451-8036
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GADN1233841223G0001X
VA04014105411223G0001X
FLDTC811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice