Dr. Kent Eric Gardner
Facial Plastic Surgeon
1490 E Foremaster Dr Suite 350
St George
, Utah 84790-4488
Dr. Kent Eric Gardner
Facial Plastic Surgeon
1490 E Foremaster Dr Suite 350
St George
, Utah 84790-4488
(435) 628-3375
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About
Features
Specialties
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Kent Eric Gardner
- 1490 E Foremaster Dr Suite 350
- St George, UT
- Zip : 84790-4488
- Fax : (435) 628-3375
- Phone : (435) 628-3334
Second Address
- Dr. Kent Eric Gardner
- 1490 E Foremaster Dr Suite 350
- St George, UT
- Zip : 84790-4488
- Fax : (435) 628-3375
- Phone : (435) 628-3334
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YS0123X | Facial Plastic Surgeon | 371391-1205 | UT |
National Provider Identifier
| NPI | 1881702355 |
|---|---|
| Provider Name | Dr. Kent Eric Gardner |
| First Address | St George, UT 84790-4488 |
| Second Address | St George, UT 84790-4488 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/08/2006 |
| Last Update Date | 02/10/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F87361 | (02) | UT |
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.