person
Thayne Henrie Gardner, DDS
Pediatric Dentist in South Jordan, Utah
NPI 1073804001

Thayne Henrie Gardner is a Pediatric Dentist based in South Jordan, UT and is specialized in Pediatric Dentistry. Thayne Henrie Gardner practices in South Jordan, UT and has the professional credentials of DDS. The NPI Number for Thayne Henrie Gardner is 1073804001 and holds a License No. D-4480-PD (Utah).

The current practice location address for Thayne Henrie Gardner is 1268 W South Jordan Pkwy, South Jordan, UT and can be reached out via phone at 801-446-8007 and via fax at 801-676-1030.

Location: 1268 W South Jordan Pkwy, South Jordan, UT, 84095-4652
person
Provider Profile Details
NPI Number
1073804001
Provider Name
Thayne Henrie Gardner
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1268 W South Jordan Pkwy, South Jordan, UT, 84095-4652
Phone Number
801-446-8007
Fax Number
801-676-1030
Provider Enumeration Date
04/25/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1268 W South Jordan Pkwy
City
State
Zip
84095-4652
Phone Number
801-446-8007
Fax Number
801-676-1030
person
Provider Business Mailing Address Details
Address
1268 W South Jordan Pkwy
City
State
Zip
84095-4652
Phone Number
801-446-8007
Fax Number
801-676-1030
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
D-4480-PD (Idaho)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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