Jeffry Paul Gardner in Maryville - General Practice

Jeffry Paul Gardner - NPI 1518966373

Jeffry Paul Gardner is a General Practice in Maryville, Missouri. Jeffry Paul Gardner practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jeffry Paul Gardner is 1518966373. The last update date is 2007-07-08.

Jeffry Paul Gardner's current location address is 109 S Buchanan St, Maryville, Missouri. You can contact this provider via phone number 6605824655 and fax number 6605824682. The mailing address for Jeffry Paul Gardner is 109 S Buchanan St, Maryville, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffry Paul Gardner
Address 109 S Buchanan St, Maryville, Missouri
Phone Number 6605824655
Fax Number 6605824682
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1518966373
Provider Enumeration Date 2005-07-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 109 S Buchanan St
City Maryville
State Missouri (MO)
Post Code 644682384
Phone Number 6605824655
Fax Number 6605824682

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 2000150769
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Jeffry Paul Gardner

What is the unique 10-digit identifier code assigned to Jeffry Paul Gardner by the Centers for Medicare & Medicaid Services?

The Jeffry Paul Gardner has been issued the NPI (National Provider Identifier) 1518966373 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Jeffry Paul Gardner's facilities are situated?

The facilities of Jeffry Paul Gardner are physically located at the following address: 109 S Buchanan St, Maryville, MO, 644682384.

What is Jeffry Paul Gardner's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jeffry Paul Gardner's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

On what date did the Jeffry Paul Gardner receive the assignment of its 1518966373 from the Centers for Medicare & Medicaid Services?

The Jeffry Paul Gardner was issued its 1518966373 by the Centers for Medicare & Medicaid Services on 2005-07-14.

As of what date was the information pertaining to Jeffry Paul Gardner, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jeffry Paul Gardner, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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