Organization
DR. GARDNER D.D.S. & ASSOCIATES, LLC
Active
Other names
Gateway General Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT W. GARDNER D.D.S. (OWNER)
(614) 262-8180
Entity
Organization
Contact information
Practice address
112 JEFFERSON AVE, SUITE 002, COLUMBUS, OH 43215-1861
(614) 262-8180
(614) 262-2883
Mailing address
112 JEFFERSON AVE, SUITE 002, COLUMBUS, OH 43215-1861
(614) 262-8180
(614) 262-2883
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30020068
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0978483
—
OH
Enumeration date
07/15/2010
Last updated
07/15/2010
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