# GARDNER DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487528584
- **Authorized official:** NATHAN S GARDNER DR. (OWNER/DENTIST)
- **Authorized official phone:** (208) 466-3239

## Contact information

- **Practice address:** 2065 12TH AVE RD, NAMPA, ID 83686-6311
- **Practice address phone:** (208) 466-3239
- **Mailing address:** 2065 12TH AVE RD, NAMPA, ID 83686-6311
- **Mailing address phone:** (208) 466-3239

## Taxonomy

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

## Other

- **Enumeration date:** 10/01/2025
- **Last updated:** 10/10/2025