<Unavail>

LBN: Gardner Pediatric Dentistry Llc
<Unavail> is an health care organization with primary practice located at 1250 E Walnut Lawn St , Springfield MO 65804-4202. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Gardner Pediatric Dentistry Llc can be contacted via phone (417) 396-7318, or through Gardner, Jesse Nathaniel via phone (417) 719-7862.

Contact Information

Primary practice address
1250 E Walnut Lawn St Springfield MO 65804-4202
Phone: (417) 396-7318
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gardner, Jesse Nathaniel Doctor of Dental Medicine (DMD)
Phone: (417) 719-7862

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 2012019137 Missouri

Profile Details

NPI number 1437558137
LBN Legal business name Gardner Pediatric Dentistry Llc
DBA Doing business as <Unavail>
Authorized official Gardner, Jesse Nathaniel Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2014
Last updated Dec 11th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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