Fairhope Modern Dental, PC

NPI #1053811067 in Fairhope, Alabama

Provider Information

NPI Number
1053811067
Entity Type
Organization
Organization Name
Fairhope Modern Dental, PC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Feb 16, 2018
Last Updated
Feb 16, 2018

Practice Location

Address
106 LOTTIE LN
State
Alabama
ZIP Code
36532-2995
Phone
(251) 928-0400

Authorized Official

Name
DR. ANDREW JOSEPH KNIGHT, DMD
Title
PRESIDENT
Phone
(256) 828-0793

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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