# SINGING RIVER DENTISTRY TREEHOUSE KILLEN, LLC

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

## Provider details

- **NPI number:** 1932854262
- **Authorized official:** DR. JAMES THOMAS GARDINER DMD (OWNER)
- **Authorized official phone:** (256) 383-8037

## Contact information

- **Practice address:** 1367 HIGHWAY 72, KILLEN, AL 35645-9136
- **Practice address phone:** (256) 272-3464
- **Mailing address:** 1367 HIGHWAY 72, KILLEN, AL 35645-9136

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/15/2022
- **Last updated:** 07/06/2022