DR. Gregory Jan Gardner, D.D.S.

NPI #1194812982 in Indianapolis, Indiana

Provider Information

NPI Number: 1194812982
Entity Type: Individual
Name: DR. Gregory Jan Gardner, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Oct 5, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1720 E 80TH ST
City: Indianapolis
State: Indiana
ZIP Code: 46240-2709
Phone: (317) 257-9389

Specialties & Taxonomy Codes

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

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