JEFFREY J. GARDNER,DMD,PA (NPI# 1992180319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992180319 |
| Entity Type | Organization |
| Organization Name | JEFFREY J. GARDNER,DMD,PA |
| Other Organization Name | SMILING OAK DENTISTRY |
| Practice Address |
1077 Johnnie Dodds Blvd Mt Pleasant SC 29464-3155 |
| Practice Telephone | 8438840335 |
| Practice Fax Number | 8438846399 |
| Mailing Telephone | 8438840335 |
| Mailing Fax Number | 8438846399 |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |
| Authorized Official Name | DR. JEFFREY JEROME GARDNER (OWNER) |
| Authorized Official Telephone | 8438840335 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3163 | SC | Dental Providers |
| Other Name | Type Code |
|---|---|
| Smiling Oak Dentistry | Doing Business As Name - Organization |
| Street Address |
1077 JOHNNIE DODDS BLVD |
| City | MT PLEASANT |
| State | SC |
| Zip Code | 29464-3155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
| 1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
| 1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
| Find all providers in zip 29464 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619517463 | Dental Professional of South Carolina, P.C. | Dentist | 1135 Muhlenbergia Dr, Mt Pleasant, SC 29466-7586 | 2020-01-09 |
| 1184191975 | John Quincy Storie | Dentist | 997 Johnnie Dodds Blvd Apt 717, Mt Pleasant, SC 29464-6118 | 2018-10-30 |
| 1902394141 | Jonathan P. Krizner, Dds | Dentist | 3940 State Route 981, Mt Pleasant, PA 15666-3705 | 2018-04-24 |
| 1851822373 | Maria Barnes | Dentist | 5439 Durand Ave Ste 215, Mt Pleasant, WI 53406-5058 | 2017-03-26 |
| 1619253135 | Daphne R Pierce | Dentist | 1041 Johnnie Dodds Blvd Ste 4a, Mt Pleasant, SC 29464-6156 | 2011-10-28 |
| 1770874380 | Aaron John Moeggenborg | Dentist | 2020 E Preston St, Mt Pleasant, MI 48858-8990 | 2011-04-29 |
| 1851626675 | Pallavi Venkateshaian | Dentist | 4459 E Blue Grass Rd, Suite D, Mt Pleasant, MI 48858-9697 | 2009-10-13 |
| 1972751717 | Alifiya Barodawalla | Dentist | 4459 E Blue Grass Rd Apt D, Mt Pleasant, MI 48858-9697 | 2008-09-05 |
| 1487818480 | Donald Kevin Hogan | Dentist | 3405 Salterbeck Ct, Suite 100, Mt Pleasant, SC 29466-7223 | 2008-07-18 |
| 1235328279 | Kristi Ammons Dillard | Dentist | 2928 Highway 17 N, Mt Pleasant, SC 29466-8958 | 2007-10-16 |
| Find all providers in MT PLEASANT | ||||
| City | MT PLEASANT |
| Zip Code | 29464 |
Please comment or provide details below to improve the information on JEFFREY J. GARDNER,DMD,PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.