# GARDNER DENTISTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043641699
- **Authorized official:** DR. JASON HAWORTH D.D.S. (OWNER/DENTIST)
- **Authorized official phone:** (913) 710-4327

## Contact information

- **Practice address:** 115 N MOONLIGHT RD, GARDNER, KS 66030-2505
- **Practice address phone:** (913) 856-7123
- **Practice address fax:** (913) 856-7121
- **Mailing address:** 115 N MOONLIGHT RD, GARDNER, KS 66030-2505
- **Mailing address phone:** (913) 856-7123
- **Mailing address fax:** (913) 856-7121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | KS | Yes |

## Other

- **Enumeration date:** 12/09/2013
- **Last updated:** 03/10/2020