Individual
DR. BRETT M GARDINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4000 OLD SEWARD HWY STE 100, ANCHORAGE, AK 99503-6079
(907) 561-3639
Mailing address
4000 OLD SEWARD HWY STE 100, ANCHORAGE, AK 99503-6079
(907) 561-3639
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
875
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
821554
UNITED CONCORDIA
—
05
—
DD08755
—
AK
Enumeration date
04/16/2007
Last updated
07/08/2007
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