Organization Name: | HAMBLIN FAMILY DENTISTRY, PC |
NPI Number: | 1053585844 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MERINDA HAMBLIN (PRESIDENT) |
Mailing Address: | 3230 Peoples Dr Suite 220 Harrisonburg |
State: | VA US |
Postal Code: | 228017623 |
Phone Number: | 5408010150 |
Fax Number: | 5408010152 |
NPI Enumeration Date: | 04/14/2008 |
NPI Last Update Date: | 04/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 0401410732 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |