Dr. Jon Ramon Gardner
Dental Public Health
12078 Il Rte 185 Graham Correctional Center
Hillsboro
, Illinois 62049
Dr. Jon Ramon Gardner
Dental Public Health
12078 Il Rte 185 Graham Correctional Center
Hillsboro
, Illinois 62049
(618) 346-6801
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Dr. Jon Ramon Gardner
- 5 Somerset Pl
- Collinsville, IL
- Zip : 62234-8000
- Fax : (618) 346-6801
- Phone : (618) 346-6698
Second Address
- Dr. Jon Ramon Gardner
- 12078 Il Rte 185 Graham Correctional Center
- Hillsboro, IL
- Zip : 62049
- Fax : (217) 532-3964
- Phone : (217) 532-6961
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | 19023167 | IL |
National Provider Identifier
| NPI | 1174662621 |
|---|---|
| Provider Name | Dr. Jon Ramon Gardner |
| First Address | Collinsville, IL 62234-8000 |
| Second Address | Hillsboro, IL 62049 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/02/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.