Gardendale Dental

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

GARDENDALE DENTAL

Practice address

2334 Decatur Hwy
Gardendale, AL 35071-2396

Phone

(205) 631-1879

Fax

(205) 631-1887

NPI assigned

Jul 25, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Carol D Hamilton

Title

Office Manager

Phone

(205) 631-1879

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689920852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 DECATUR HWY",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712396",
            "telephone_number": "205-631-1879",
            "fax_number": "205-631-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 DECATUR HWY",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712396",
            "telephone_number": "205-631-1879",
            "fax_number": "205-631-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDENDALE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "205-631-1879",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Marie Fuller, ATC
• Jazlyn Fuller, RBT
• Katherine Drake Gamble, PT, DPT
• Keri Gamblin, COTA/L
• Gardendale Chiropractic Center
• Gardendale Family Dentistry
• Gardendale Health Mart Pharmacy LLC
• Gardendale Medical Center
• Gardendale Oral Surgery, P.C.
• Gardendale Pain and Wellness, LLC

• Point of Service in Gardendale, AL
• Providers in Gardendale, AL by specialty
• Point of Service in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.