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Organization
BURNTSHIRT LLC
Active
Organization
BURNTSHIRT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMANTHA FREEMAN ROLEN DMD (OWNER)
(334) 277-2332
Entity
Organization
Contact information
Practice address
3525 YOUNG MEADOWS RD, MONTGOMERY, AL 36116-1114
(334) 277-2332
Mailing address
3525 YOUNG MEADOWS RD, MONTGOMERY, AL 36116-1114
(334) 277-2332
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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