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JEFFRY P. GARDNER, D.D.S.
NPI 1972707008
Dentist - General Practice in Maryville, MO

Active since June 13, 2007
109 S BUCHANAN ST, MARYVILLE, MO 64468(660) 582-4655 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeffry P. Gardner, D.d.s. NPPES

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

JEFFRY P. GARDNER, D.D.S. (NPI 1972707008) is a healthcare organization registered as a general practice in Maryville, Missouri and active in the NPI registry since June 2007. The organization lists Jeffry Paul Gardner, Owner, as its authorized official.

NPPES Registry Identity

NPI1972707008
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJEFFRY P. GARDNER, D.D.S.
Location Address109 S BUCHANAN STMaryville, MO 64468-2384
Mailing Address109 S Buchanan StMaryville, MO 64468-2384 · (660) 582-4655
Phone(660) 582-4655
Organization SubpartNo
Authorized OfficialJeffry Paul GardnerOwner · (660) 582-4655
Enumeration DateJune 13, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1972707008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 2000150769
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.
109 S BUCHANAN ST, Maryville, MO 64468
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

LOSH OPTOMETRY LLC
Optometrist
109 S BUCHANAN ST
MARYVILLE, MO 64468
Nodaway County (660) 241-5001
DR. JEFFRY PAUL GARDNER D.D.S.
Dentist (General Practice)
109 S BUCHANAN ST
MARYVILLE, MO 64468
Nodaway County (660) 582-4655
DR. RYAN K LOSH O.D.
Optometrist
109 S BUCHANAN ST
MARYVILLE, MO 64468
Nodaway County (660) 241-5001

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 Jeffry P. Gardner, D.D.S.'s NPI number?

The NPI number for Jeffry P. Gardner, D.D.S. is 1972707008. It was assigned to this organization in the NPPES registry on June 13, 2007.

Where is Jeffry P. Gardner, D.D.S. located?

Jeffry P. Gardner, D.D.S. is located at 109 S Buchanan St, Maryville, MO 64468. The listed phone number is (660) 582-4655.

What is Jeffry P. Gardner, D.D.S.'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 Jeffry P. Gardner, D.D.S. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.