| Fairhope Cosmetic And Family Dentistry, Pc | |
|
101 Fly Creek Ave Ste 301 Fairhope AL 36532-8310 | |
| (251) 990-7797 | |
| Not Available |
| Full Name | Fairhope Cosmetic And Family Dentistry, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 101 Fly Creek Ave Ste 301, Fairhope, Alabama |
| Authorized Official Name and Position | James Theodore Melton (OWNER) |
| Authorized Official Contact | 2519907797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairhope Cosmetic And Family Dentistry, Pc 101 Fly Creek Ave Ste 301 Fairhope AL 36532-8310 Ph: (251) 990-7797 | Fairhope Cosmetic And Family Dentistry, Pc 101 Fly Creek Ave Ste 301 Fairhope AL 36532-8310 Ph: (251) 990-7797 |
| NPI Number | 1477067783 |
|---|---|
| Provider Enumeration Date | 11/22/2017 |
| Last Update Date | 11/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477067783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3784 (Alabama) | Primary |
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