FAIRHOPE COSMETIC DENTISTRY AND FRESH BEATH CENTER is a general practice dentist in Fairhope, AL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. FAIRHOPE COSMETIC DENTISTRY AND FRESH BEATH CENTER NPI is 1235435785. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
101 FLY CREEK AVENUE
SUITE 301
FAIRHOPE, AL
ZIP 36532
Phone: (251) 990-7797
Fax: (251) 990-7769
The provider's authorized official is James M. Clark .
The authorized official title is Owner and has the following contact phone number (251) 990-7797.
The CLIA number assigned to this NPI record is 01D0884866 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 2/1/2011 and was last updated on 5/7/2015.