Jonathan Blair Gardner, D.D.S.

General Practice Dentistry · East Carbon, UT

Individual Active NPI

NPI number 1013926872

Practice location

331 Highway 123
East Carbon, UT 84520-0930
Phone
(435) 888-4411
Fax
(435) 888-2270

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NPI record

NPI
1013926872
Entity type
Individual (Type 1)
Enumeration date
August 7, 2006
Last updated
January 3, 2020
Certified
January 3, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 326378-9922 UT

Mailing address

PO Box 930
East Carbon, UT 84520-0930
Phone
(435) 888-4411
Fax
(435) 888-4411

About Dr. Gardner

Jonathan Blair Gardner, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 331 Highway 123, East Carbon, UT 84520-0930. The NPI number 1013926872 was assigned on August 7, 2006 and the record was last updated on January 3, 2020.

Dr. Gardner lists a license in the registry: #326378-9922 (UT) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jonathan Blair Gardner, D.D.S.?

The NPI number is 1013926872.

What is the phone number of Dr. Gardner?

The phone number listed for the practice location is (435) 888-4411.

Where is Dr. Gardner located?

331 Highway 123, East Carbon, UT 84520-0930.

What is the taxonomy code for Dr. Gardner?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.