Individual
DR. DOUGLAS SCOTT GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
324 W 2ND ST, SEYMOUR, IN 47274-2199
(812) 522-8608
Mailing address
3872 NEW BATTLE LN, BARGERSVILLE, IN 46106-9610
(317) 910-9546
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12013430A
IN
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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