Healthcare Provider Details

I. General information

NPI: 1073428322
Provider Name (Legal Business Name): HAMPTON HILL DENTAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6027 HAMPTON AVE
SAINT LOUIS MO
63109-3608
US

IV. Provider business mailing address

6027 HAMPTON AVE
SAINT LOUIS MO
63109-3608
US

V. Phone/Fax

Practice location:
  • Phone: 314-773-3666
  • Fax: 314-772-7289
Mailing address:
  • Phone: 314-773-3666
  • Fax: 314-772-7289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. RYAN NGUYEN
Title or Position: OWNER
Credential: DMD
Phone: 314-773-3666