# JILL BARTON GAMOTIS, DMD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871886325
- **Authorized official:** DR. JILL BARTON GAMOTIS D.M.D. (PEDIATRIC DENTIST)
- **Authorized official phone:** (205) 384-6000

## Contact information

- **Practice address:** 20 MEDICAL CENTER DR, SUITE 200, JASPER, AL 35501-3425
- **Practice address phone:** (205) 384-6000
- **Practice address fax:** (205) 384-6024
- **Mailing address:** 20 MEDICAL CENTER DR, SUITE 200, JASPER, AL 35501-3425
- **Mailing address phone:** (205) 384-6000
- **Mailing address fax:** (205) 384-6024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 4900 | AL | Yes |

## Other

- **Enumeration date:** 05/17/2011
- **Last updated:** 05/17/2011
