THAYNE GARDNER DDS PLLC NPI 1295490100

NPI Information

THAYNE GARDNER DDS, PLLC is a pediatric dentistry dentist in South Jordan, UT. 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. THAYNE GARDNER DDS, PLLC NPI is 1295490100. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1268 W SOUTH JORDAN PKWY STE 101
SOUTH JORDAN, UT
ZIP 84095-653
Phone: (801) 446-8007
Fax: (801) 676-1030

The provider's authorized official is Thayne Gardner .
The authorized official title is Dentist/owner and has the following contact phone number (801) 446-8007.

The enumeration date for this NPI number is 11/4/2021 and was last updated on 11/4/2021.

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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