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 |
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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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