Organization · Type 2 NPI

Fairhope Modern Dental, PC

Dental Clinic/Center · Fairhope, AL

NPI number 1053811067 Active

About NPI 1053811067

Fairhope Modern Dental, PC's National Provider Identifier is 1053811067, issued on Feb 16, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Fairhope, AL. The record was last updated on Feb 16, 2018.