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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