Individual provider · Type 1 NPI

John Allen Gardner, DDS

Pediatric Dentistry · Columbia, MO

NPI number 1215083696 Active

Practice location

1316 Old 63 South, Suite 201
Columbia, MO 65201-6045

Call (573) 443-2544 Map

Fax (573) 815-0840

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X10937 (MO)

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.

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About NPI 1215083696

John Allen Gardner, DDS's National Provider Identifier is 1215083696, issued on Jan 26, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Columbia, MO. The record was last updated on Jun 11, 2008.