Hampton Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HAMPTON DENTAL GROUP

Practice address

435 Highway 321
Hampton, TN 37658-3323

Phone

(770) 542-8999

NPI assigned

Aug 30, 2020

Last updated

Jul 5, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brad Andersen, DMDNPI 1053761189

Title

Sole Member

Phone

(770) 542-8999

Specialties & licenses 2

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brad Andersen, D.M.D.

  • General Practice Dentistry
  • Mountain City, TN
  • NPI 1053761189
  NPD Authorized official
• Keith Ace Usry, DDS

  • General Practice Dentistry
  • Hampton, TN
  • NPI 1033883533
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1952914715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 HIGHWAY 321",
            "city": "HAMPTON",
            "state": "TN",
            "postal_code": "376583323",
            "telephone_number": "423-896-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 HIGHWAY 321",
            "city": "HAMPTON",
            "state": "TN",
            "postal_code": "376583323",
            "telephone_number": "770-542-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-30",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "770-542-8999",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ace Dental and Implant Services, PLLC (Hampton Dental Group)
• Stephanie D Campbell
• Hampton Pharmacy Inc (Hampton Pharmacy)
• Cole Lee Harmon, OTR/L
• Haley Maturin, MS, RD, LDN
• Lanny R Peters
• Keith Ace Usry, DDS

• General Practice Dentistry in Hampton, TN
• Providers in Hampton, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.