Gardner, Michael
Gardner, Michael is an individual health care provider with primary practice located at 1806 Broadway Blvd , Kilgore TX 75662-3520. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gardner, Michael can be contacted via phone (903) 984-1108.Contact Information
Primary practice address
1806 Broadway Blvd
Kilgore TX 75662-3520
Phone: (903) 984-1108
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 0025450 | Texas |
Profile Details
| NPI number | 1033439286 |
|---|---|
| LBN Legal business name | Gardner, Michael |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2010 |
| Last updated | Jun 9th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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