Jimmy L Gardner DMD

NPI 1043360175 - Dentist - 122300000X

NPI Details
NPI 1043360175
Gender Male
Enumeration Date 01/11/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
161 ELLIOTT STREET
ORANGEBURG SC, 29115, US
Phone (803) 536-0058
Fax (803) 536-0997
Business Location
161 ELLIOTT STREET
ORANGEBURG SC, 29115, US
Phone (803) 536-0058
Fax (803) 536-0997
Toxanomy
Taxonomy Code 122300000X
License State South Carolina
License Number 2266
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According to our database, Dr. Jimmy L Gardner DMD NPI is 1043360175, taxonomy code is 122300000X and license number is 2266, license state is located at South Carolina. Jimmy L Gardner DMD physically located at 161 Elliott Street, Orangeburg SC, 29115. NPI Number Jimmy L Gardner DMD has the Individual type.

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1043360175 NPI number is provided on an as is basis without warranty of any kind. 1043360175 is maintained by the National Plan & Provider Enumeration System. The contents of Jimmy L Gardner DMD are for informational purposes only.