Gardiner, James Thomas

Gardiner, James Thomas is an individual health care provider with primary practice located at 121 E 6Th St , Tuscumbia AL 35674-2413. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gardiner, James Thomas can be contacted via phone (256) 383-0377.

Contact Information

Primary practice address
121 E 6Th St Tuscumbia AL 35674-2413
Phone: (256) 383-0377
Fax: (256) 383-0745
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4509 Alabama

Profile Details

NPI number 1306860655
LBN Legal business name Gardiner, James Thomas
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Feb 29th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306860655 NPPES
Alabama Other 0005433243 AETNA
Alabama MEDICAID 009207250 AETNA
Alabama Other 071697 AETNA
Alabama Other 91520 AETNA
Alabama Other 341309 AETNA
Alabama Other 858994 AETNA
Alabama Other 251472 AETNA
Alabama Other 71020 AETNA

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