Fairhope Modern Dental, Pc | |
106 Lottie Ln Fairhope AL 36532-2995 | |
(251) 928-0400 | |
Not Available |
Full Name | Fairhope Modern Dental, Pc |
---|---|
Speciality | Clinic/center - Dental |
Location | 106 Lottie Ln, Fairhope, Alabama |
Authorized Official Name and Position | Andrew Joseph Knight (PRESIDENT) |
Authorized Official Contact | 2568280793 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fairhope Modern Dental, Pc 106 Lottie Ln Fairhope AL 36532-2995 Ph: () - | Fairhope Modern Dental, Pc 106 Lottie Ln Fairhope AL 36532-2995 Ph: (251) 928-0400 |
NPI Number | 1053811067 |
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Provider Enumeration Date | 02/16/2018 |
Last Update Date | 02/16/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053811067 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 5616 (Alabama) | Primary |
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