Organization · Type 2 NPI
Fairhope Cosmetic and Family Dentistry, PC
Dental Clinic/Center · Fairhope, AL
NPI number
1477067783
Active
Practice location
101 Fly Creek Ave Ste 301
Fairhope, AL 36532-8310
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 3784 (AL) |
Dental Clinic/Center: Definition to come...
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About NPI 1477067783
Fairhope Cosmetic and Family Dentistry, PC's National Provider Identifier is 1477067783, issued on Nov 22, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Fairhope, AL. The record was last updated on Nov 22, 2017.