| John a Gardner, DDS, PC | |
|
1316 Old 63 S Ste. 201 Columbia MO 65201-6092 | |
| (573) 443-2544 | |
| (573) 815-0840 |
| Full Name | John a Gardner, DDS, PC |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1316 Old 63 S, Columbia, Missouri |
| Authorized Official Name and Position | John Allen Gardner (PEDIATRIC DENTIST/PRESIDENT) |
| Authorized Official Contact | 5734432544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John a Gardner, DDS, PC 1316 Old 63 S Ste. 201 Columbia MO 65201-6092 Ph: (573) 443-2544 | John a Gardner, DDS, PC 1316 Old 63 S Ste. 201 Columbia MO 65201-6092 Ph: (573) 443-2544 |
| NPI Number | 1891955050 |
|---|---|
| Provider Enumeration Date | 06/11/2008 |
| Last Update Date | 06/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891955050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 10937 (Missouri) | Primary |
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