NPI 1073804001 THAYNE HENRIE GARDNER DDS SOUTH JORDAN UT. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Thayne Henrie Gardner - NPI: 1073804001

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: THAYNE HENRIE GARDNER
NPI Number: 1073804001
Entity Type Code: Individual (1)
Gender: M
Credentials: DDS
License Number: D-4480-PD
Business Practice Address: 1268 W South Jordan Pkwy
Suite 101 South Jordan, UT - 840954652
Business Phone Number: 8014468007
Business Fax Number: 8016761030
Mailing Address: 1268 W South Jordan Pkwy, Suite 101
SOUTH JORDAN
State: UT
Postal Code: 840954652
Phone Number: 8014468007
Fax Number: 8016761030
NPI Enumeration Date: 04/25/2011
NPI Last Update Date: 02/10/2016
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 1223P0221X
License Number: D-4480-PD
Healthcare Provider Taxonomy:
(Secondary)
N
State: ID
Taxonomy Type: Dental Providers
Taxonomy Classification: Dentist
Taxonomy Specialization: Pediatric Dentistry
Taxonomy Definition:
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.


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