GARDNER PEDIATRIC DENTISTRY LLC NPI 1437558137

NPI Information

  • NPI: 1437558137
  • Provider Name: GARDNER PEDIATRIC DENTISTRY LLC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Doing Business As: EXPEDITION PEDIATRIC DENTISTRY & ORTHODONTICS
  • Address: 1250 E WALNUT LAWN ST
    SPRINGFIELD, MO
    ZIP 65804
  • Phone: (417) 396-7318

Map and Directions

Get Directions

NPI Details

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 Is Doing Business As Expedition Pediatric Dentistry & Orthodontics.

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 12/11/2024.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric Dentistry2012019137MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.