Wayne Gardner is a Dentist in San Antonio, Texas. Wayne Gardner practices all healthcare services and medical treatments related to Dentist. The NPI Number for Wayne Gardner is 1528157195. The last update date is 2007-07-08.
Wayne Gardner's current location address is Po Box 40397, San Antonio, Texas. You can contact this provider via phone number 2105676405 and fax number 2105672844. The mailing address for Wayne Gardner is Po Box 40397, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wayne Gardner |
|---|---|
| Address | Po Box 40397, San Antonio, Texas |
| Phone Number | 2105676405 |
| Fax Number | 2105672844 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1528157195 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 40397 |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782293900 |
| Phone Number | 2105676405 |
| Fax Number | 2105672844 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 16830 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 83Y611 | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Wayne Gardner's 1528157195?
The Wayne Gardner's NPI (National Provider Identifier) Number is 1528157195. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Wayne Gardner located?
The Wayne Gardner is located at Po Box 40397, San Antonio, TX 782293900.
What is Wayne Gardner's specialized field of practice, and what is the corresponding taxonomy classification code?
The Wayne Gardner's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Wayne Gardner receive the assignment of its 1528157195 from the Centers for Medicare & Medicaid Services?
The Wayne Gardner was issued its 1528157195 by the Centers for Medicare & Medicaid Services on 2006-10-12.
When was the information related to Wayne Gardner most recently updated or refreshed?
The details pertaining to the Wayne Gardner, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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