Individual
DR. JOEL P. GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1210 E DIVISION ST, MOUNT VERNON, WA 98274-4102
(360) 336-5464
Mailing address
1210 E DIVISION ST, MOUNT VERNON, WA 98274-4102
(360) 336-5464
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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