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Contact Information

JOSEPH N GARDNER, DDS
1718 S MAIN ST
POPLARVILLE, MS39470-4287
 Phone: 601-795-8024
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for JOSEPH N GARDNER · (Male)

NPI Number 1265418446
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/19/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS License # 1714-76
  • MS Medicaid 00064315
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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