Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fairhope Modern Dental, PC

Organization Dental Clinic/Center · NPI 1053811067

Fairhope Modern Dental, PC is a Dental Clinic/Center in Fairhope, Alabama. Licensed in Alabama. Registered with an NPI since 2018.

Licensed in
AL
In the registry since
2018
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

106 Lottie Ln
Fairhope, AL 36532-2995
Phone: (251) 928-0400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 5616 (AL)

Record details

NPI number1053811067
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Knight — President · (256) 828-0793
NPI enumeratedFebruary 16, 2018
Last updated in NPPESFebruary 16, 2018
Mailing address106 Lottie Ln, Fairhope, AL 36532-2995

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