OrganizationActive
Alabama Dental Professionals PC
NPI 1639552284 · Dentist · Fairhope, AL
Provider details
- NPI number
- 1639552284
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Parent organization
- Alabama Dental Professionals PC
- Organization subpart
- Yes
- Authorized official
- Jasmine Reardon, Credentialing Coordinator(217) 540-8330
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
19354 Greeno Rd
Fairhope, AL 36532-3834
Phone: (251) 990-8885
Fax: (251) 990-5701
Street-level locationGet directions
Mailing address
19354 Greeno Rd
Fairhope, AL 36532-3834
Other names (DBA / former)
- Doing business as
- Bayside Dental Care
Registry dates
- Enumerated
- 2015-07-01
- Last updated
- 2015-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.