Organization
SINGING RIVER DENTISTRY TREEHOUSE KILLEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES THOMAS GARDINER DMD (OWNER)
(256) 383-8037
Entity
Organization
Contact information
Practice address
1367 HIGHWAY 72, KILLEN, AL 35645-9136
(256) 272-3464
Mailing address
1367 HIGHWAY 72, KILLEN, AL 35645-9136
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
07/06/2022
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