Gardner, Scott R

Gardner, Scott R is an individual health care provider with primary practice located at 2065 12Th Ave Rd , Nampa ID 83686-6311. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gardner, Scott R can be contacted via phone (208) 466-3239.

Contact Information

Primary practice address
2065 12Th Ave Rd Nampa ID 83686-6311
Phone: (208) 466-3239
Fax: (208) 442-9541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D-3527 Idaho

Profile Details

NPI number 1104931526
LBN Legal business name Gardner, Scott R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 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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