Gardner, Thomas Levier
Gardner, Thomas Levier is an sole proprietor health care provider with primary practice located at 518 Hollyberry Ln Ste 105 , Orange Park FL 32065-5290. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Gardner, Thomas Levier can be contacted via phone (904) 802-0767.Contact Information
Primary practice address
518 Hollyberry Ln Ste 105
Orange Park FL 32065-5290
Phone: (904) 802-0767
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 23133 | Florida |
Profile Details
NPI number | 1063811644 |
---|---|
LBN Legal business name | Gardner, Thomas Levier |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 19th, 2014 |
Last updated | Aug 4th, 2020 - about 4 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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