David Douglas Gardner, is a
Dentist - General Practice based in Andover, New York. David Douglas Gardner is licensed to practice in New York (license number 041343) and his current practice location is
2 South Main St, Andover, New York. He can be reached at his office (for appointments etc.) via phone at
(607) 478-8426.
NPI number for David Douglas Gardner is 1770569535 and his current mailing address is 9 Malin Ln, Penfield, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770569535.
Healthcare Provider's Profile
| Full Name | David Douglas Gardner |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 2 South Main St, Andover, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1770569535
- Provider Enumeration Date: 12/22/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for David Douglas Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770569535 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 041343 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Douglas Gardner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
David Douglas Gardner,
9 Malin Ln,
Penfield, NY 14526-2232
Ph: (585) 864-9704 | David Douglas Gardner,
2 South Main St,
Andover, NY 14806
Ph: (607) 478-8426 |
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