| Gary W Bardonner, Dds, Inc | |
|
940 N State St Greenfield IN 46140-1202 | |
| (317) 462-2656 | |
| Not Available |
| Full Name | Gary W Bardonner, Dds, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 940 N State St, Greenfield, Indiana |
| Authorized Official Name and Position | Gary W Bardonner (PRESIDENT) |
| Authorized Official Contact | 3174622656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary W Bardonner, Dds, Inc 940 N State St Greenfield IN 46140-1202 Ph: (317) 462-2656 | Gary W Bardonner, Dds, Inc 940 N State St Greenfield IN 46140-1202 Ph: (317) 462-2656 |
| NPI Number | 1285768259 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285768259 | NPI | - | NPPES |
| 12009221 | Other | IN | STATE DENTAL LICENSE |
| 12007317 | Other | IN | STATE DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12007317 (Indiana) | Primary |
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