Gardner, Jerome M
Gardner, Jerome M is an individual health care provider with primary practice located at 970 Sunrise Hwy , West Babylon NY 11704-6110. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Gardner, Jerome M can be contacted via phone (631) 669-8855.Contact Information
Primary practice address
970 Sunrise Hwy
West Babylon NY 11704-6110
Phone: (631) 669-8855
Fax: (631) 669-3497
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 024454 | New York |
Profile Details
| NPI number | 1295715530 |
|---|---|
| LBN Legal business name | Gardner, Jerome M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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