| Donald G Gardner Dds, Inc. | |
|
4915 S Main St Suite 118 Stafford TX 77477-4601 | |
| (281) 491-4545 | |
| (281) 491-7134 |
| Full Name | Donald G Gardner Dds, Inc. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4915 S Main St, Stafford, Texas |
| Authorized Official Name and Position | Donald George Gardner (DOCTOR) |
| Authorized Official Contact | 2814914545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald G Gardner Dds, Inc. 4915 S Main St Suite 118 Stafford TX 77477-4601 Ph: (281) 491-4545 | Donald G Gardner Dds, Inc. 4915 S Main St Suite 118 Stafford TX 77477-4601 Ph: (281) 491-4545 |
| NPI Number | 1184884009 |
|---|---|
| Provider Enumeration Date | 06/13/2008 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184884009 | NPI | - | NPPES |
| 1108623-04 | Medicaid | TX | |
| 1544389-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | TX11037 (Texas) | Primary |
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