JONATHAN GARDNER DMD
NPI 1053097964
Dentist - General Practice in Mullins, SC

Q: What is Jonathan Gardner's NPI number?

The NPI number for Jonathan Gardner is 1053097964. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Q: What is Jonathan Gardner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Gardner was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 26, 2023

622 SOUTH MAIN STREET, MULLINS, SC 29574(843) 464-6162 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jonathan Gardner Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN GARDNER DMD (NPI 1053097964) is an individual general practice provider in Mullins, South Carolina, licensed in South Carolina (10520) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1053097964

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameJONATHAN GARDNERCredential: DMD

Location Address622 SOUTH MAIN STREETMullins, SC 29574

Mailing AddressPo Box 54Aynor, SC 29511

Phone(843) 464-6162

Sole ProprietorNo

Enumeration DateJune 26, 2023

NPPES CertifiedJune 26, 2023

✔ NPI 1053097964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in SC · 10520

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

622 SOUTH MAIN STREET, Mullins, SC 29574

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Gardner's NPI number?

The NPI number for Jonathan Gardner is 1053097964. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Where is Jonathan Gardner located?

Jonathan Gardner practices at 622 South Main Street, Mullins, SC 29574. The listed phone number is (843) 464-6162.

What is Jonathan Gardner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jonathan Gardner was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.