FAIRHOPE COSMETIC DENTISTRY AND FRESH BEATH CENTER
NPI 1235435785
Dentist - General Practice in Fairhope, AL

Active since February 01, 2011
101 FLY CREEK AVENUE, SUITE 301, FAIRHOPE, AL 36532(251) 990-7797(251) 990-7769 Get Directions Write a Review

NPPES record last updated: May 7, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fairhope Cosmetic Dentistry And Fresh Beath Center NPPES

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

FAIRHOPE COSMETIC DENTISTRY AND FRESH BEATH CENTER (NPI 1235435785) is a healthcare organization registered as a general practice in Fairhope, Alabama and active in the NPI registry since February 2011. The organization lists James M. Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1235435785
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFAIRHOPE COSMETIC DENTISTRY AND FRESH BEATH CENTER
Location Address101 FLY CREEK AVENUE, SUITE 301Fairhope, AL 36532
Mailing Address7540 Cipriano CtFairhope, AL 36532-3029 · (251) 990-7797
Fax(251) 990-7769
Organization SubpartNo
Authorized OfficialJames M. ClarkOwner · (251) 990-7797
Enumeration DateFebruary 1, 2011
Last NPPES UpdateMay 7, 2015
NPI 1235435785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in AL · AL3834
Definition
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.
101 FLY CREEK AVENUE, Fairhope, AL 36532

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Cosmetic Dentistry And Fresh Beath Center's NPI number?

The NPI number for Fairhope Cosmetic Dentistry And Fresh Beath Center is 1235435785. It was assigned to this organization in the NPPES registry on February 1, 2011.

Where is Fairhope Cosmetic Dentistry And Fresh Beath Center located?

Fairhope Cosmetic Dentistry And Fresh Beath Center is located at 101 Fly Creek Avenue Suite 301, Fairhope, AL 36532. The listed phone number is (251) 990-7797.

What is Fairhope Cosmetic Dentistry And Fresh Beath Center's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Fairhope Cosmetic Dentistry And Fresh Beath Center was last updated on May 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.