OrganizationAdvanced Sedation Dentistry - HamptonClinic/CenterAmbulatory Health Care FacilitiesPractice Address2111 Hartford Rd, Suite D, Hampton, VA 23666-2576(757) 838-0800(757) 240-5711PECOS EnrollmentBased on the most recent information from CMS, provider Advanced Sedation Dentistry - Hampton does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:51 AM.Profile DetailsProvider ID1336585702Provider TypeOrganizationFull NameAdvanced Sedation Dentistry - HamptonSubpartNoEnumeration Date5/13/2013Last Updated5/13/2013Contact InformationPractice LocationPractice Address2111 Hartford Rd, Suite D, Hampton, VA 23666-2576Phone(757) 838-0800FaxUnlisted FaxMailing LocationMailing Address220 Nat Turner Blvd S, Newport News, VA 23606-2899Phone(757) 240-5711FaxUnlisted FaxAuthorized OfficialNameGarofalis, Haralambos (Managing Partner)Phone(757) 240-5711Provider TaxonomiesCodeDescriptionLicenseCode261QA1903XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicense0401410912Virginia