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General NPI Number Information
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NPI Number | 1376405001
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Entity Type | Organization
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Legal Business Name | JAMILA RILEY DDS LLC
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 2288 ZIERDT RD SW STE F
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City | HUNTSVILLE
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State | AL
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Zip | 35824-1901
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Country | US
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Telephone | 256-461-9999
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Fax |
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Provider Business Mailing Address
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Address Line | 3412 GRENADIER CT
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City | MOBILE
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State | AL
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Zip | 36695-6220
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Country | US
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Telephone | 251-622-6504
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | DR. JAMILA SHANI MCKINNIS RILEY
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Credential | DDS
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Telephone | 251-622-6504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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