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NPI Code Detail

MEDICARE: HAMPTON FAMILY DENTISTRY

MEDICARE: HAMPTON FAMILY DENTISTRY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist044694NY

General Provider Information

NPI Number : 1548494701
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAMPTON FAMILY DENTISTRY
Provider Business Mailing Address
First Line : 400 MIDWAY PARK DR
Second Line :
City : MIDDLETOWN
State : NY
Zip : 10940-2656
Country : US
Telephone Number : 845-344-4336
Fax Number : 845-344-4347
Provider Business Practice Location Address
First Line : 400 MIDWAY PARK DR
Second Line :
City : MIDDLETOWN
State : NY
Zip : 10940-2656
Country : US
Telephone Number : 845-344-4336
Fax Number : 845-344-4347
Authorized Official
Title or Position : OWNER
Name : DR. JEFFREY KIM
Credential :
Telephone Number : 845-344-4336
Provider Enumeration Date : 05/04/2009
Last Update Date : 05/04/2009

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Directions to “HAMPTON FAMILY DENTISTRY ” Practice Location

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