| Thayne Gardner Dds, Pllc | |
|
1268 W South Jordan Pkwy Ste 101 South Jordan UT 84095-4653 | |
| (801) 446-8007 | |
| (801) 676-1030 |
| Full Name | Thayne Gardner Dds, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1268 W South Jordan Pkwy Ste 101, South Jordan, Utah |
| Authorized Official Name and Position | Thayne Gardner (DENTIST/OWNER) |
| Authorized Official Contact | 8014468007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thayne Gardner Dds, Pllc 1268 W South Jordan Pkwy Ste 101 South Jordan UT 84095-4653 Ph: (801) 446-8007 | Thayne Gardner Dds, Pllc 1268 W South Jordan Pkwy Ste 101 South Jordan UT 84095-4653 Ph: (801) 446-8007 |
| NPI Number | 1295490100 |
|---|---|
| Provider Enumeration Date | 11/04/2021 |
| Last Update Date | 11/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295490100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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