NPI 1013119445 · live from the CMS NPI Registry
Roberta Zeigler Gardner, DMD, MS
Dentist, Orthodontics and Dentofacial Orthopedics in Mt Pleasant, SC. National Provider Identifier 1013119445, active.
NPI record
| NPI | 1013119445 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 887 Johnnie Dodds Blvd, Suit 120, Mt Pleasant, SC 29464 |
| Practice phone | 843-881-0767 |
| Enumerated | June 5, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 3195 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.