Dr Jonathan Blair Gardner, DDS is a medicare enrolled "Dentist - General Practice" provider in East Carbon, Utah. His current practice location is
331 Highway 123, East Carbon, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 888-4411.
Dr Jonathan Blair Gardner is licensed to practice in Utah (license number 326378-9922) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013926872.
Healthcare Provider's Profile
Full Name | Dr Jonathan Blair Gardner |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 331 Highway 123, East Carbon, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1013926872
- Provider Enumeration Date: 08/07/2006
- Last Update Date: 01/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 9739470279
- Enrollment ID: I20160614000941
Medical Identifiers
Medical identifiers for Dr Jonathan Blair Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013926872 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 326378-9922 (Utah) | 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. Dr Jonathan Blair Gardner is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jonathan Blair Gardner, DDS Po Box 930, East Carbon, UT 84520-0930 Ph: (435) 888-4411 | Dr Jonathan Blair Gardner, DDS 331 Highway 123, East Carbon, UT 84520-0930 Ph: (435) 888-4411 |
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