NPI 1396089348 · live from the CMS NPI Registry
Ernest Jason Gardner, D.D.S.
Dentist, Orthodontics and Dentofacial Orthopedics in Spartanburg, SC. National Provider Identifier 1396089348, active.
NPI record
| NPI | 1396089348 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 319 N Pine St, Spartanburg, SC 29302 |
| Practice phone | 864-585-8709 |
| Enumerated | November 15, 2012 |
| Last updated | November 15, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 332 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.