# THAYNE GARDNER DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Little People's Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295490100
- **Authorized official:** THAYNE GARDNER DDS (DENTIST/OWNER)
- **Authorized official phone:** (801) 446-8007

## Contact information

- **Practice address:** 1268 W SOUTH JORDAN PKWY STE 101, SOUTH JORDAN, UT 84095-4653
- **Practice address phone:** (801) 446-8007
- **Practice address fax:** (801) 676-1030
- **Mailing address:** 1268 W SOUTH JORDAN PKWY STE 101, SOUTH JORDAN, UT 84095-4653
- **Mailing address phone:** (801) 446-8007
- **Mailing address fax:** (801) 676-1030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/04/2021
- **Last updated:** 11/04/2021
