Healthcare Provider Details

I. General information

NPI: 1285596551
Provider Name (Legal Business Name): HOMETOWN ENDODONTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2025
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2372 E UNIVERSITY DR STE 103
AUBURN AL
36830-7748
US

IV. Provider business mailing address

2372 E UNIVERSITY DR STE 103
AUBURN AL
36830-7748
US

V. Phone/Fax

Practice location:
  • Phone: 334-444-0571
  • Fax:
Mailing address:
  • Phone: 334-444-0571
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. BRITANY FABIAN MATIN
Title or Position: OWNER
Credential: DMD
Phone: 334-444-0571