Randolph Gardner, DMD

NPI 1831353606 · on the registry since 2008

Practice

Address: 449 Pleasant Hill Rd Nw
Suite 101
Lilburn, GA 30047
Phone: (770) 564-9906
Fax: (770) 564-9907
Organisation at this address: Village Family Dental Llc
Consultorio Medico Familiar Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-07-10

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 Georgia