Joel P. Gardner in Mount Vernon - Orthodontics And Dentofacial Orthopedics

Joel P. Gardner - NPI 1265657522

Joel P. Gardner is a Orthodontics And Dentofacial Orthopedics in Mount Vernon, Washington. Joel P. Gardner practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Joel P. Gardner is 1265657522. The last update date is 2007-07-08.

Joel P. Gardner's current location address is 1210 E Division St, Mount Vernon, Washington. You can contact this provider via phone number 3603365464. The mailing address for Joel P. Gardner is 1210 E Division St, Mount Vernon, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Joel P. Gardner
Address 1210 E Division St, Mount Vernon, Washington
Phone Number 3603365464
Fax Number
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1265657522
Provider Enumeration Date 2007-04-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1210 E Division St
City Mount Vernon
State Washington (WA)
Post Code 982744102
Phone Number 3603365464
Fax Number

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No DE00008421
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
58421 WA WASHINGTON DENTAL SERVICE
518176 WA UNITED CONCORDIA TRICARE

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FAQs about Joel P. Gardner

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

The Joel P. Gardner has been assigned the NPI (National Provider Identifier) 1265657522. 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 Joel P. Gardner?

The Joel P. Gardner is physically situated at 1210 E Division St, in the city of Mount Vernon, state of WA, with the postal code 982744102.

What is Joel P. Gardner's area of expertise and its corresponding taxonomy classification?

The Joel P. Gardner's field of specialization is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their areas of practice.

On what date did the Joel P. Gardner receive the assignment of its 1265657522 from the Centers for Medicare & Medicaid Services?

The Joel P. Gardner was issued its 1265657522 by the Centers for Medicare & Medicaid Services on 2007-04-13.

When was the Joel P. Gardner's information last updated?

The Joel P. Gardner's information was last updated on 2007-07-08.

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