Healthcare Provider Details

I. General information

NPI: 1336700376
Provider Name (Legal Business Name): NEW HOPE FAMILY DENTISTRY P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2019
Last Update Date: 06/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5487 MAIN DR
NEW HOPE AL
35760-9758
US

IV. Provider business mailing address

5487 MAIN DR
NEW HOPE AL
35760-9758
US

V. Phone/Fax

Practice location:
  • Phone: 256-723-8833
  • Fax:
Mailing address:
  • Phone: 256-723-8833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. BRITTANY PAUGH PARKS
Title or Position: DENTIST/OWNER
Credential: DMD
Phone: 256-723-8833