Michael Gardner, D.D.S.

General Practice Dentistry · Kilgore, TX

Individual Active NPI

NPI number 1033439286

Practice location

1806 Broadway Blvd
Kilgore, TX 75662-3520
Phone
(903) 984-1108

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NPI record

NPI
1033439286
Entity type
Individual (Type 1)
Enumeration date
June 9, 2010
Last updated
July 1, 2026
Certified
July 1, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D009412 AZ
General Practice Dentistry 1223G0001X 0025450 TX

About Dr. Gardner

Michael 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 1806 Broadway Blvd, Kilgore, TX 75662-3520. The NPI number 1033439286 was assigned on June 9, 2010 and the record was last updated on July 1, 2026.

Dr. Gardner lists 2 licenses in the registry: #D009412 (AZ) for General Practice Dentistry; #0025450 (TX) 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 Michael Gardner, D.D.S.?

The NPI number is 1033439286.

What is the phone number of Dr. Gardner?

The phone number listed for the practice location is (903) 984-1108.

Where is Dr. Gardner located?

1806 Broadway Blvd, Kilgore, TX 75662-3520.

What is the taxonomy code for Dr. Gardner?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

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.

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