| Gardner Orthodontics | |
|
518 Hollyberry Lane Suite 105 Orange Park FL 32065 | |
| (904) 802-0767 | |
| Not Available |
| Full Name | Gardner Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 518 Hollyberry Lane, Orange Park, Florida |
| Authorized Official Name and Position | Thomas L. Gardner (DMD - OWNER) |
| Authorized Official Contact | 4807038198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gardner Orthodontics 518 Hollyberry Lane Suite 105 Orange Park FL 32065 Ph: (904) 802-0767 | Gardner Orthodontics 518 Hollyberry Lane Suite 105 Orange Park FL 32065 Ph: (904) 802-0767 |
| NPI Number | 1538709514 |
|---|---|
| Provider Enumeration Date | 01/08/2020 |
| Last Update Date | 01/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538709514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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