GARDNER PEDIATRIC DENTISTRY LLC NPI 1437558137

NPI Information

GARDNER PEDIATRIC DENTISTRY LLC is a pediatric dentistry dentist in Springfield, MO. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. GARDNER PEDIATRIC DENTISTRY LLC NPI is 1437558137. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1250 E WALNUT LAWN ST
SPRINGFIELD, MO
ZIP 65804-202
Phone: (417) 396-7318

The provider's authorized official is Jesse Nathaniel Gardner .
The authorized official title is Owner and has the following contact phone number (417) 719-7862.

The enumeration date for this NPI number is 8/19/2014 and was last updated on 5/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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