Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN BLAIR GARDNER, D.D.S.
Active Sole ProprietorDR. JONATHAN BLAIR GARDNER, D.D.S. is a General Dentistry healthcare provider located in EAST CARBON, Utah. NPI 1013926872 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · EAST CARBON, UT
Registration Details
- NPI Number
- 1013926872
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 7, 2006 (20.032907489015 yrs)
- Last Updated
- Jan 3, 2020
- License
-
326378-9922 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
331 HIGHWAY 123EAST CARBON, UT, 845200930Browse UT providers · Browse ZIP 84520
- Phone
- 4358884411
- Fax
- 4358882270
- Primary Specialty
-
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.