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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THAYNE HENRIE GARDNER, DDS

Active Sole Proprietor

THAYNE HENRIE GARDNER, DDS is a Pediatric Dentistry healthcare provider located in SOUTH JORDAN, Utah. NPI 1073804001 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · SOUTH JORDAN, UT

Registration Details

NPI Number
1073804001
Provider Type
Individual
Gender
Male
NPI Issued
Apr 25, 2011 (15.26775771973 yrs)
Last Updated
Feb 10, 2016
Licenses
D-4480-PD (ID)
9246474 (UT)
Sole Proprietor
Yes

Practice Information

Address
1268 W SOUTH JORDAN PKWY
SUITE 101
SOUTH JORDAN, UT, 840954652
Browse UT providers · Browse ZIP 84095
Phone
8014468007
Fax
8016761030
Primary Specialty
Pediatric Dentistry
1223P0221X
Additional Specialty
Pediatric Dentistry

Other Pediatric Dentistry Providers in SOUTH JORDAN, UT

Name Credential NPI
DR. ADAM ROSS BUSHELL D.D.S. 1598755472
DR. DAVID CHRISTIAN ROTH DDS 1285685594
RUSSELL WIRTHLIN FARNSWORTH DDS 1215987797
AUSTIN TROY WILLIAMS DMD 1881324291
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.