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Contact Information

GARDNER DENTAL LLC
2065 12TH AVE RD
NAMPA, ID83686-6311
 Phone: 208-466-3239
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for GARDNER DENTAL LLC

NPI # 1487528584
LBN Legal business name GARDNER DENTAL LLC
Authorized official NATHAN GARDNER - (OWNER/DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/01/2025
Last updated 10/10/2025 - About 8 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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