Jeffry P. Gardner, D.d.s. | |
109 S Buchanan St Maryville MO 64468-2384 | |
(660) 582-4655 | |
Not Available |
Full Name | Jeffry P. Gardner, D.d.s. |
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Speciality | Dentist - General Practice |
Location | 109 S Buchanan St, Maryville, Missouri |
Authorized Official Name and Position | Jeffry Paul Gardner (OWNER) |
Authorized Official Contact | 6605824655 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jeffry P. Gardner, D.d.s. 109 S Buchanan St Maryville MO 64468-2384 Ph: (660) 582-4655 | Jeffry P. Gardner, D.d.s. 109 S Buchanan St Maryville MO 64468-2384 Ph: (660) 582-4655 |
NPI Number | 1972707008 |
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Provider Enumeration Date | 06/13/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1972707008 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2000150769 (Missouri) | Primary |
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