Individual
DR. ERNEST JASON GARDNER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
319 N PINE ST, SPARTANBURG, SC 29302-1605
(864) 585-8709
(864) 585-8700
Mailing address
319 N PINE ST, SPARTANBURG, SC 29302-1605
(864) 585-8709
(864) 585-8700
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
332
SC
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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