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Contact Information

FAIRHOPE COSMETIC DENTISTRY AND FRESH BEATH CENTER
101 FLY CREEK AVENUE
SUITE 301
FAIRHOPE, AL36532
 Phone: 251-990-7797
 Fax: 251-990-7769
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for FAIRHOPE COSMETIC DENTISTRY AND FRESH BEATH CENTER · (Female)

NPI # 1235435785
Status Active
Credentials
Entity Individual
Enumeration date 02/01/2011
Last updated 05/07/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • AL License # AL3834
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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