SearchSouth Carolina1223G0001X

Jonathan Gardner, DMD

NPI 1053097964 · on the registry since 2023

Practice

Address
622 South Main Street
Mullins, SC 29574
Phone
(843) 464-6162
Organisation at this address
Blevins Dentistry, Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-06-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina