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Organization
JAMES T. GARDINER FAMILY DENTISTRY, P.C.
Active
Organization
JAMES T. GARDINER FAMILY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES THOMAS GARDINER D.M.D. (OWNER/PRESIDENT)
(256) 383-0377
Entity
Organization
Contact information
Practice address
121 E. 6TH ST., TUSCUMBIA, AL 35674-2413
(256) 383-0377
(256) 383-0745
Mailing address
121 E. 6TH ST., TUSCUMBIA, AL 35674-2413
(256) 383-0377
(256) 383-0745
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4509
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009207250
—
AL
Enumeration date
05/04/2012
Last updated
05/04/2012
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