Thayne Henrie Gardner
Pediatric Dentist
1268 W South Jordan Pkwy Suite 101
South Jordan
, Utah 84095-4652
Thayne Henrie Gardner
Pediatric Dentist
1268 W South Jordan Pkwy Suite 101
South Jordan
, Utah 84095-4652
(801) 676-1030
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Thayne Henrie Gardner
- 1268 W South Jordan Pkwy Suite 101
- South Jordan, UT
- Zip : 84095-4652
- Fax : (801) 676-1030
- Phone : (801) 446-8007
Second Address
- Thayne Henrie Gardner
- 1268 W South Jordan Pkwy Suite 101
- South Jordan, UT
- Zip : 84095-4652
- Fax : (801) 676-1030
- Phone : (801) 446-8007
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FAQs
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What type of doctor is Thayne Henrie Gardner
In what state does Thayne Henrie Gardner practice in?
Where is Thayne Henrie Gardner ’s practice located?
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Is Thayne Henrie Gardner a sole practitioner?
Is Thayne Henrie Gardner accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 9246474 | UT |
| N | 1223P0221X | Pediatric Dentist | D-4480-PD | ID |
National Provider Identifier
| NPI | 1073804001 |
|---|---|
| Provider Name | Thayne Henrie Gardner |
| First Address | South Jordan, UT 84095-4652 |
| Second Address | South Jordan, UT 84095-4652 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/04/2011 |
| Last Update Date | 10/02/2016 |
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.