1. Home
  2. Directory
  3. Alabama
  4. Fairhope
  5. Clinic Center
  6. NPI Profile

FAIRHOPE MODERN DENTAL, PC
NPI 1053811067
Clinic/Center - Dental in Fairhope, AL

Active since February 16, 2018
106 LOTTIE LN, FAIRHOPE, AL 36532(251) 928-0400 Get Directions Write a Review

NPPES record last updated: February 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fairhope Modern Dental, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRHOPE MODERN DENTAL, PC (NPI 1053811067) is a healthcare organization registered as a dental in Fairhope, Alabama and active in the NPI registry since February 2018. The organization lists Andrew Joseph Knight, President, as its authorized official.

NPPES Registry Identity

NPI1053811067
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameFAIRHOPE MODERN DENTAL, PC
Location Address106 LOTTIE LNFairhope, AL 36532-2995
Mailing Address106 Lottie LnFairhope, AL 36532-2995
Phone(251) 928-0400
Organization SubpartNo
Authorized OfficialAndrew Joseph KnightPresident · (256) 828-0793
Enumeration DateFebruary 16, 2018
✔ NPI 1053811067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in AL · 5616
106 LOTTIE LN, Fairhope, AL 36532
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAIRHOPE SMILES, P.C.
Clinic/Center (Dental)
106 LOTTIE LN
FAIRHOPE, AL 36532
Baldwin County (251) 928-0400
LAGNIAPPE DENTAL PLLC
Clinic/Center (Dental)
106 LOTTIE LN
FAIRHOPE, AL 36532
Baldwin County (251) 517-3313
DR. MARILYN KAYE SHAW DMD
Dentist
106 LOTTIE LN
FAIRHOPE, AL 36532
Baldwin County (251) 928-2727

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fairhope Modern Dental, PC's NPI number?

The NPI number for Fairhope Modern Dental, PC is 1053811067. It was assigned to this organization in the NPPES registry on February 16, 2018.

Where is Fairhope Modern Dental, PC located?

Fairhope Modern Dental, PC is located at 106 Lottie Ln, Fairhope, AL 36532. The listed phone number is (251) 928-0400.

What is Fairhope Modern Dental, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Fairhope Modern Dental, PC was last updated on February 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.