Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JON RAMON GARDNER, DMD
Active Sole ProprietorDR. JON RAMON GARDNER, DMD is a Dental Public Health healthcare provider located in HILLSBORO, Illinois. NPI 1174662621 is currently active in the NPPES registry. Verify at CMS.
Dental Public Health · HILLSBORO, IL
Registration Details
- NPI Number
- 1174662621
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 5, 2007 (19.557324460102 yrs)
- Last Updated
- Jul 8, 2007
- License
-
19023167 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12078 IL RTE 185GRAHAM CORRECTIONAL CENTERHILLSBORO, IL, 62049Browse IL providers · Browse ZIP 62049
- Phone
- 2175326961
- Fax
- 2175323964
- Primary Specialty
-
Dental Public Health
1223D0001X
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.