Provider Demographics
NPI:1588325682
Name:MY HAMPTON DENTAL PLLC
Entity type:Organization
Organization Name:MY HAMPTON DENTAL PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LALIT
Authorized Official - Middle Name:
Authorized Official - Last Name:BHARDWAJ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-956-4100
Mailing Address - Street 1:516 S HAMPTON RD # 100
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-5621
Mailing Address - Country:US
Mailing Address - Phone:214-956-4100
Mailing Address - Fax:
Practice Address - Street 1:516 S HAMPTON RD # 100
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-5621
Practice Address - Country:US
Practice Address - Phone:214-956-4100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-01
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty