Gardner, Michael

Gardner, Michael is an individual health care provider with primary practice located at 1806 Broadway Blvd , Kilgore TX 75662-3520. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gardner, Michael can be contacted via phone (903) 984-1108.

Contact Information

Primary practice address
1806 Broadway Blvd Kilgore TX 75662-3520
Phone: (903) 984-1108
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0025450 Texas

Profile Details

NPI number 1033439286
LBN Legal business name Gardner, Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2010
Last updated Jun 9th, 2010 - about 14 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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