Individual
DR. HUGH K GARDNER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3618 DIXIE HWY, LOUISVILLE, KY 40216-4106
(502) 447-7646
(502) 448-6311
Mailing address
3618 DIXIE HWY, LOUISVILLE, KY 40216-4106
(502) 447-7646
(502) 448-6311
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4115
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y219
FEDERAL PROVIDER
—
Enumeration date
04/17/2007
Last updated
07/08/2007
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