| Trevor K. Gardner Dmd Llc | |
|
175 N Bernard St Powell WY 82435-2617 | |
| (307) 754-3391 | |
| Not Available |
| Full Name | Trevor K. Gardner Dmd Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 175 N Bernard St, Powell, Wyoming |
| Authorized Official Name and Position | Trevor K Gardner (OWNER) |
| Authorized Official Contact | 3075786552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trevor K. Gardner Dmd Llc 175 N Bernard St Powell WY 82435-2617 Ph: (307) 754-3391 | Trevor K. Gardner Dmd Llc 175 N Bernard St Powell WY 82435-2617 Ph: (307) 754-3391 |
| NPI Number | 1033894357 |
|---|---|
| Provider Enumeration Date | 06/15/2023 |
| Last Update Date | 06/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033894357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Mel Ginest, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 S Division St, Powell, WY 82435 Phone: 307-754-5502 Fax: 307-754-4289 |