Individual provider · Type 1 NPI

Alex Joseph Gardner, DDS

Student in an Organized Health Care Education/Training Program · South Jordan, UT

NPI number 1508650714 Active

Practice location

10920 S River Front Pkwy
South Jordan, UT 84095-3538

Mailing address

2411 Chamee Dr
Maryville, MO 64468-3512

Other practice locations

  • 2336 S Main St, Maryville, MO 64468-3622 · (660) 254-2135

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1508650714

Alex Joseph Gardner, DDS's National Provider Identifier is 1508650714, issued on Apr 4, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in South Jordan, UT. The record was last updated on Apr 4, 2025.