Fairhope Pediatric Dentistry, Pc | |
115 Lottie Ln Fairhope AL 36532-2995 | |
(251) 928-5045 | |
Not Available |
Full Name | Fairhope Pediatric Dentistry, Pc |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 115 Lottie Ln, Fairhope, Alabama |
Authorized Official Name and Position | William Wells Hammock (OWNER/DENTIST) |
Authorized Official Contact | 2519285045 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fairhope Pediatric Dentistry, Pc 115 Lottie Ln Fairhope AL 36532-2995 Ph: () - | Fairhope Pediatric Dentistry, Pc 115 Lottie Ln Fairhope AL 36532-2995 Ph: (251) 928-5045 |
NPI Number | 1588940431 |
---|---|
Provider Enumeration Date | 10/24/2011 |
Last Update Date | 10/24/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588940431 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 5316 (Alabama) | Primary |
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