Individual
JEFFREY JEROME GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., P.A.
Contact information
Practice address
1077 JOHNNIE DODDS BLVD, MOUNT PLEASANT, SC 29464-3155
(843) 884-0335
(843) 884-6399
Mailing address
1077 JOHNNIE DODDS BLVD, MOUNT PLEASANT, SC 29464-3155
(843) 884-0335
(843) 884-6399
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3163
SC
Other
Enumeration date
10/17/2006
Last updated
04/14/2022
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