John D. Gardner, D.D.S.

General Practice Dentistry · Caruthersville, MO

Individual Active NPI

NPI number 1114097581

Practice location

1210 Ward Ave
Caruthersville, MO 63830

Phone: (573) 333-0505
Fax: (573) 333-0512

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NPI record

NPI: 1114097581
Entity type: Individual (Type 1)
Enumeration date: November 9, 2006
Last updated: July 8, 2007
Sole proprietor: No

Specialties & taxonomy codes

Taxonomy	Code	License	State
General Practice Dentistry Primary	`1223G0001X`	MO13104	MO

Mailing address

1210 Ward Ave
P.O. Box 1120
Caruthersville, MO 63830

About Dr. Gardner

John D. 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 1210 Ward Ave, Caruthersville, MO 63830. The NPI number 1114097581 was assigned on November 9, 2006 and the record was last updated on July 8, 2007.

Dr. Gardner lists a license in the registry: #MO13104 (MO) 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 John D. Gardner, D.D.S.?

The NPI number is 1114097581.

What is the phone number of Dr. Gardner?

The phone number listed for the practice location is (573) 333-0505.

Where is Dr. Gardner located?

1210 Ward Ave, Caruthersville, MO 63830.

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.