| James T. Gardiner Family Dentistry, P.c. | |
|
121 E. 6th St. Tuscumbia AL 35674-2413 | |
| (256) 383-0377 | |
| (256) 383-0745 |
| Full Name | James T. Gardiner Family Dentistry, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 121 E. 6th St., Tuscumbia, Alabama |
| Authorized Official Name and Position | James Thomas Gardiner (OWNER/PRESIDENT) |
| Authorized Official Contact | 2563830377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James T. Gardiner Family Dentistry, P.c. 121 E. 6th St. Tuscumbia AL 35674-2413 Ph: (256) 383-0377 | James T. Gardiner Family Dentistry, P.c. 121 E. 6th St. Tuscumbia AL 35674-2413 Ph: (256) 383-0377 |
| NPI Number | 1750640108 |
|---|---|
| Provider Enumeration Date | 05/04/2012 |
| Last Update Date | 05/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750640108 | NPI | - | NPPES |
| 009207250 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4509 (Alabama) | Primary |
Th Tuscumbia Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 E 5th St, Tuscumbia, AL 35674 Phone: 256-320-5778 Fax: 256-826-2923 | |
Srd Tuscumbia Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 E 6th St, Tuscumbia, AL 35674 Phone: 256-383-0377 |