John A Gardner, Dds, Pc in Columbia - Pediatric Dentistry
John A Gardner, Dds, Pc - NPI 1891955050
John A Gardner, Dds, Pc is a Pediatric Dentistry in Columbia, Missouri. John A Gardner, Dds, Pc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for John A Gardner, Dds, Pc is 1891955050. The last update date is 2008-06-11.
John A Gardner, Dds, Pc's current location address is 1316 Old 63 S, Columbia, Missouri. You can contact this provider via phone number 5734432544 and fax number 5738150840. The mailing address for John A Gardner, Dds, Pc is 1316 Old 63 S, Columbia, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Organization | John A Gardner, Dds, Pc |
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Address | 1316 Old 63 S, Columbia, Missouri |
Phone Number | 5734432544 |
Fax Number | 5738150840 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PEDIATRIC |
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Authorized Official Name | Gardner Allen John |
Credentials | DDS |
Telephone Number | 5734432544 |
NPI Number Detail
NPI Number | 1891955050 |
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Provider Enumeration Date | 2008-06-11 |
Last Updated Date | 2008-06-11 |
Provider Mailing Address Detail
Address | 1316 Old 63 S |
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City | Columbia |
State | Missouri (MO) |
Post Code | 652016092 |
Phone Number | 5734432544 |
Fax Number | 5738150840 |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Dentistry |
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Taxonomy | 1223P0221X |
Licence No | 10937 |
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the unique identification code assigned to John A Gardner, Dds, Pc by the Centers for Medicare & Medicaid Services?
The John A Gardner, Dds, Pc has been issued the NPI (National Provider Identifier) 1891955050. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of John A Gardner, Dds, Pc?
The John A Gardner, Dds, Pc is situated at 1316 Old 63 S, in the city of Columbia, state of MO, with the zip code 652016092.
What is the John A Gardner, Dds, Pc's specialty and taxonomy code?
The John A Gardner, Dds, Pc's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
When did John A Gardner, Dds, Pc receive its 1891955050 assignment?
The John A Gardner, Dds, Pc was assigned its 1891955050 on 2008-06-11, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to John A Gardner, Dds, Pc most recently updated or revised?
The details related to John A Gardner, Dds, Pc, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-11.