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EXPEDITION PEDIATRIC DENTISTRY & ORTHODONTICS
NPI 1437558137
Dentist - Pediatric Dentistry in Springfield, MO

Active since August 19, 2014
1250 E WALNUT LAWN ST, SPRINGFIELD, MO 65804(417) 396-7318 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 11, 2024, May 28, 2020 (2 updates tracked since 2020).

About Expedition Pediatric Dentistry & Orthodontics NPPES

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

EXPEDITION PEDIATRIC DENTISTRY & ORTHODONTICS (NPI 1437558137) is a healthcare organization registered as a pediatric dentistry in Springfield, Missouri and active in the NPI registry since August 2014. The organization maintains 2 additional practice locations and lists Jesse Nathaniel Gardner, Owner, as its authorized official.

NPPES Registry Identity

NPI1437558137
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameGARDNER PEDIATRIC DENTISTRY LLC
Location Address1250 E WALNUT LAWN STSpringfield, MO 65804-4202
Mailing Address1250 E Walnut Lawn StSpringfield, MO 65804-4202 · (417) 396-7318
Phone(417) 396-7318
Organization SubpartNo
Authorized OfficialJesse Nathaniel GardnerOwner · (417) 719-7862
Enumeration DateAugust 19, 2014
Last NPPES UpdateDecember 11, 20242 updates tracked since enumeration
NPPES CertifiedDecember 11, 2024
✔ NPI 1437558137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MO · 2012019137
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1250 E WALNUT LAWN ST, Springfield, MO 65804
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Other Names 1

Doing Business AsExpedition Pediatric Dentistry & Orthodontics

Secondary Practice Locations 2

Location 1764 US Highway 60 ERepublic, MO 65738-1524 · Phone (417) 719-7862
Location 2716 W Mount Vernon StNixa, MO 65714-9682 · Phone (417) 719-7862

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICK M BAUER DDS MS PC
Dentist (Orthodontics and Dentofacial Orthopedics)
1250 E WALNUT LAWN ST
SPRINGFIELD, MO 65804
Greene County (417) 883-3740
MR. PATRICK M BAUER D.D.S., M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
1250 E WALNUT LAWN ST
SPRINGFIELD, MO 65804
Greene County (417) 883-3740
RAECHELLE HAYTER DDS
Dentist (General Practice)
1250 E WALNUT LAWN ST
SPRINGFIELD, MO 65804
Greene County (417) 374-1685
DR. JESSE NATHANIEL GARDNER D.M.D.
Dentist
1250 E WALNUT LAWN ST
SPRINGFIELD, MO 65804
Greene County (417) 719-7862

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 Gardner Pediatric Dentistry LLC's NPI number?

The NPI number for Gardner Pediatric Dentistry LLC is 1437558137. It was assigned to this organization in the NPPES registry on August 19, 2014. The provider is doing business as Expedition Pediatric Dentistry & Orthodontics.

Where is Gardner Pediatric Dentistry LLC located?

Gardner Pediatric Dentistry LLC is located at 1250 E Walnut Lawn St, Springfield, MO 65804. The listed phone number is (417) 396-7318.

What is Gardner Pediatric Dentistry LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Gardner Pediatric Dentistry LLC was last updated on December 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.