Jordan Louise Gardner, DDS

General Practice Dentistry · Bloomington, MN

Individual Active NPI

NPI number 1093490120

Practice location

10700 France Ave S Ste 102
Bloomington, MN 55431-3693
Phone
(952) 679-3531

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NPI record

NPI
1093490120
Entity type
Individual (Type 1)
Enumeration date
June 16, 2023
Last updated
June 16, 2023
Certified
June 16, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D14899 MN

Mailing address

2215 22ND Ave S Apt 1
Minneapolis, MN 55404-3131
Phone
(507) 676-5675

About Dr. Gardner

Jordan Louise Gardner, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 10700 France Ave S Ste 102, Bloomington, MN 55431-3693. The NPI number 1093490120 was assigned on June 16, 2023 and the record was last updated on June 16, 2023.

Dr. Gardner lists a license in the registry: #D14899 (MN) 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 Jordan Louise Gardner, DDS?

The NPI number is 1093490120.

What is the phone number of Dr. Gardner?

The phone number listed for the practice location is (952) 679-3531.

Where is Dr. Gardner located?

10700 France Ave S Ste 102, Bloomington, MN 55431-3693.

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.

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