Organization
GARDNER ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS L. GARDNER DMD (DMD - OWNER)
(480) 703-8198
Entity
Organization
Contact information
Practice address
1246 E WALNUT LAWN ST, SPRINGFIELD, MO 65804-4202
(417) 719-7862
Mailing address
1246 E WALNUT LAWN ST, SPRINGFIELD, MO 65804-4202
(417) 719-7862
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/08/2020
Last updated
12/29/2025
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