Individual
DR. JOEL P. GARDNER
Active
Individual
DR. JOEL P. GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00008421
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
518176
UNITED CONCORDIA TRICARE
WA
01
—
58421
WASHINGTON DENTAL SERVICE
WA
Enumeration date
04/13/2007
Last updated
03/20/2026
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