Michael Gardner, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D009412 Issued in AZ

Practice address

1806 Broadway Blvd
Kilgore, TX 75662-3520

Phone

(903) 984-1108

NPI assigned

Jun 9, 2010

Last updated

Jul 1, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael B Gardner PC

  dba All Smiles Kilgore

  • Dental Clinic/Center
  • Kilgore, TX
  • NPI 1912271420
  NPD (past) Authorized official
• Meno Group, PLLC

  dba Kilgore Dental Care

  • General Practice Dentistry
  • Kilgore, TX
  • NPI 1003267212
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1033439286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 BROADWAY BLVD",
            "city": "KILGORE",
            "state": "TX",
            "postal_code": "756623520",
            "telephone_number": "903-984-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 BROADWAY BLVD",
            "city": "KILGORE",
            "state": "TX",
            "postal_code": "756623520",
            "telephone_number": "903-984-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-09",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "0025450",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D009412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell C Fisher, R.PH.
• James E. Foster, MD
• Jennifer Darlene Franks, BSN RN
• La Tamera D Fry, LAT
• Darrell Layne Ganus, MED, LAT, ATC
• Get to the Point Wellness PLLC
• Shirley Jane Goetze, CCC/SLP
• Paul A Grant Jr, MD
• Grant-Moore Center for Behavioral Health, Inc.
• Christopher Richard Gratton, D.C., P.C.

• General Practice Dentistry in Kilgore, TX
• Providers in Kilgore, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.