# DONALD G GARDNER DDS, INC.

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

## Provider details

- **NPI number:** 1184884009
- **Authorized official:** DR. DONALD GEORGE GARDNER D.D.S. (DOCTOR)
- **Authorized official phone:** (281) 491-4545

## Contact information

- **Practice address:** 4915 S MAIN ST, SUITE 118, STAFFORD, TX 77477-4601
- **Practice address phone:** (281) 491-4545
- **Practice address fax:** (281) 491-7134
- **Mailing address:** 4915 S MAIN ST, SUITE 118, STAFFORD, TX 77477-4601
- **Mailing address phone:** (281) 491-4545
- **Mailing address fax:** (281) 491-7134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | TX11037 | TX | Yes |

## Other

- **Enumeration date:** 06/13/2008
- **Last updated:** 06/17/2008