Thayne Henrie Gardner, DDS
NPI #1073804001 in South Jordan, Utah
Provider Information
- NPI Number
- 1073804001
- Entity Type
- Individual
- Name
- Thayne Henrie Gardner, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Pediatric Dentistry
- Credential
- DDS
- Enumeration Date
- Apr 25, 2011
- Last Updated
- Feb 10, 2016
Practice Location
- Address
- 1268 W SOUTH JORDAN PKWY
- Address 2
- SUITE 101
- City
- South Jordan
- State
- Utah
- ZIP Code
- 84095-4652
- Phone
- (801) 446-8007
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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