Individual provider · Type 1 NPI

Lydia Gardner, DMD

Periodontics · New York, NY

NPI number 1396039293 Active

Practice location

99 John St, 1608
New York, NY 10038-2903

Call (443) 306-6392 Map

Specialties and licenses

TaxonomyCodeLicense
Periodontics 1223P0300XDS038532 (PA)
Periodontics Primary 1223P0300X056640 (NY)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1396039293

Lydia Gardner, DMD's National Provider Identifier is 1396039293, issued on Jun 8, 2011. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in New York, NY. The record was last updated on Jan 22, 2014.