Jonathan Gardner, DMD

NPI #1053097964 in Mullins, South Carolina

Provider Information

NPI Number: 1053097964
Entity Type: Individual
Name: Jonathan Gardner, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jun 26, 2023
Last Updated: Jun 26, 2023

Practice Location

Address: 622 SOUTH MAIN STREET
City: Mullins
State: South Carolina
ZIP Code: 29574
Phone: (843) 464-6162

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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