Individual provider · Type 1 NPI

Thayne Henrie Gardner, DDS

Pediatric Dentistry · South Jordan, UT

NPI number 1073804001 Active

Practice location

1268 W South Jordan Pkwy, Suite 101
South Jordan, UT 84095-4652

Fax (801) 676-1030

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221XD-4480-PD (ID)
Pediatric Dentistry Primary 1223P0221X9246474 (UT)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

8 other providers at this address

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About NPI 1073804001

Thayne Henrie Gardner, DDS's National Provider Identifier is 1073804001, issued on Apr 25, 2011. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in South Jordan, UT. The record was last updated on Feb 10, 2016.