Fairhope Pediatric Dentistry, PC

NPI #1588940431 in Fairhope, Alabama

Provider Information

NPI Number
1588940431
Entity Type
Organization
Organization Name
Fairhope Pediatric Dentistry, PC
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Oct 24, 2011
Last Updated
Oct 24, 2011

Practice Location

Address
115 LOTTIE LN
State
Alabama
ZIP Code
36532-2995
Phone
(251) 928-5045

Authorized Official

Name
WILLIAM WELLS HAMMOCK, DMD
Title
OWNER/DENTIST
Phone
(251) 928-5045

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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Provider Name
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Organizations

Provider Name
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