Individual
DR. GARY DON GARDNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
21ST STREET, BLDG 2441, FORT CAMPBELL, KY 42223-5369
(270) 798-8614
(270) 798-8633
Mailing address
21ST STREET, BLDG 2441, FORT CAMPBELL, KY 42223-5369
(270) 798-8614
(270) 798-8633
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3156
AR
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
3156
AR
Other
Enumeration date
02/14/2006
Last updated
09/11/2025
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