Gardner, Dan Robert

Gardner, Dan Robert is an individual health care provider with primary practice located at 725 Highland Oaks Dr Suite 101, Winston Salem NC 27103-7109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gardner, Dan Robert can be contacted via phone (336) 659-8180.

Contact Information

Primary practice address

725 Highland Oaks Dr Suite 101 Winston Salem NC 27103-7109

Phone: (336) 659-8180

Fax: (336) 659-8363

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Allopathic & Osteopathic Physicians / Ophthalmology	207W00000X	C4332	Arkansas

Profile Details

NPI number	1306836622
LBN Legal business name	Gardner, Dan Robert
Credentials	Doctor of Medicine (MD)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Oct 27th, 2005
Last updated	Apr 2nd, 2009 - about 15 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

State	Type	Number	Issuer
All States	NPI	1306836622	NPPES
Arkansas	MEDICAID	102198001

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