# JAMES TOWNE DDS2, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jamestowne Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003290388
- **Authorized official:** DR. ALLISON GARDINER DDS (MEMBER)
- **Authorized official phone:** (317) 353-4469

## Contact information

- **Practice address:** 6249 S EAST ST, SUITE J, INDIANAPOLIS, IN 46227-2091
- **Practice address phone:** (317) 789-1000
- **Mailing address:** 6249 S EAST ST, SUITE J, INDIANAPOLIS, IN 46227-2091
- **Mailing address phone:** (317) 789-1000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12011631A | IN | Yes |

## Other

- **Enumeration date:** 07/16/2015
- **Last updated:** 07/16/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201026900 | — | IN |