National Provider Identifier
David Douglas Gardner
David Douglas Gardner is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Andover, NY and a listed phone number of (607) 478-8426.
Profile Overview
- NPI
- 1770569535
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- December 22, 2005
- Last Updated
- July 08, 2007
Practice Location
- 2 South Main St
- Andover, NY 14806
Phone: (607) 478-8426
Mailing Address
- 9 Malin Ln
- Penfield, NY 14526-2232
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1770569535
- Entity Type
- Individual
- Last Name
- Gardner
- First Name
- David
- Middle Name
- Douglas
- Mailing Street Address
- 9 Malin Ln
- Mailing City
- Penfield
- Mailing State
- NY
- Mailing ZIP Code
- 14526-2232
- Mailing Country
- US
- Mailing Phone
- (585) 864-9704
- Practice Street Address
- 2 South Main St
- Practice City
- Andover
- Practice State
- NY
- Practice ZIP Code
- 14806
- Practice Country
- US
- Practice Phone
- (607) 478-8426
- Enumeration Date
- December 22, 2005
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)