OrganizationActive
Fairhope Modern Dental, PC
NPI 1053811067 · Dental Clinic/Center · Fairhope, AL
Fairhope Modern Dental, PC is a Dental Clinic/Center organization in Fairhope, AL (NPI 1053811067).
Provider details
- NPI number
- 1053811067
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Andrew Knight, President(256) 828-0793
- License
- 5616 (AL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
106 Lottie Ln
Fairhope, AL 36532-2995
Phone: (251) 928-0400
Street-level locationGet directions
Mailing address
106 Lottie Ln
Fairhope, AL 36532-2995
Registry dates
- Enumerated
- 2018-02-16
- Last updated
- 2018-02-16
Frequently asked questions
- What is Fairhope Modern Dental, PC's NPI number?
- Fairhope Modern Dental, PC's National Provider Identifier (NPI) is 1053811067, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairhope Modern Dental, PC?
- Fairhope Modern Dental, PC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Fairhope Modern Dental, PC located?
- Fairhope Modern Dental, PC's practice location on file with NPPES is 106 Lottie Ln, Fairhope, AL 36532-2995.
- What is Fairhope Modern Dental, PC's phone number?
- The practice phone number listed in the NPPES registry for Fairhope Modern Dental, PC is (251) 928-0400.
- Who is the authorized official for Fairhope Modern Dental, PC?
- The authorized official listed on Fairhope Modern Dental, PC's NPPES record is Andrew Knight, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairhope Modern Dental, PC's NPI active?
- Yes — Fairhope Modern Dental, PC's NPI (1053811067) is active in the NPPES registry as of the last update on 2018-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.