John Allen Gardner in Columbia - Pediatric Dentistry

John Allen Gardner - NPI 1215083696

John Allen Gardner is a Pediatric Dentistry in Columbia, Missouri. John Allen Gardner practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for John Allen Gardner is 1215083696. The last update date is 2008-06-11.

John Allen Gardner's current location address is 1316 Old 63 South, Columbia, Missouri. You can contact this provider via phone number 5734432544 and fax number 5738150840. The mailing address for John Allen Gardner is 1316 Old 63 South, Columbia, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name John Allen Gardner
Address 1316 Old 63 South, Columbia, Missouri
Phone Number 5734432544
Fax Number 5738150840
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1215083696
Provider Enumeration Date 2007-01-26
Last Updated Date 2008-06-11

Provider Mailing Address Detail

Address 1316 Old 63 South
City Columbia
State Missouri (MO)
Post Code 652016045
Phone Number 5734432544
Fax Number 5738150840

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
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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FAQs about John Allen Gardner

What is the unique identifier code issued to John Allen Gardner by the Centers for Medicare & Medicaid Services (CMS)?

The John Allen Gardner has been assigned the NPI (National Provider Identifier) 1215083696. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of John Allen Gardner?

The John Allen Gardner is physically situated at 1316 Old 63 South, in the city of Columbia, state of MO, with the postal code 652016045.

What is John Allen Gardner's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for John Allen Gardner is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.

On what date did the John Allen Gardner receive its 1215083696 assignment from the Centers for Medicare & Medicaid Services?

The John Allen Gardner was assigned its 1215083696 by the Centers for Medicare & Medicaid Services on 2007-01-26.

As of what date was the information regarding John Allen Gardner, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to John Allen Gardner, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-11.

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