Burntshirt LLC
NPI #1023976560 in Montgomery, Alabama
Provider Information
- NPI Number
- 1023976560
- Entity Type
- Organization
- Organization Name
- Burntshirt LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 13, 2026
- Last Updated
- Jan 13, 2026
Practice Location
- Address
- 3525 YOUNG MEADOWS RD
- City
- Montgomery
- State
- Alabama
- ZIP Code
- 36116-1114
- Phone
- (334) 277-2332
Authorized Official
- Name
- DR. SAMANTHA FREEMAN ROLEN, DMD
- Title
- OWNER
- Phone
- (334) 277-2332
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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