Individual provider · Type 1 NPI

Zachary Keith Gardner, DDS

Student in an Organized Health Care Education/Training Program · Augusta, GA

NPI number 1588258396 Active

Practice location

1430 John Wesley Gilbert Drive
Augusta, GA 30912-0001

Call (706) 721-2411 Map

Mailing address

214 Old Hickory Blvd Apt 126
Nashville, TN 37221-7061

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XD.007243-C1 (AL)
Student in an Organized Health Care Education/Training Program Primary 390200000XDN123613 (GA)

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 1588258396

Zachary Keith Gardner, DDS's National Provider Identifier is 1588258396, issued on Feb 22, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Augusta, GA. The record was last updated on Oct 21, 2024.