Trevor K. Gardner DMD LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TREVOR K. GARDNER DMD LLC

Doing business as

Sage Hills Dental

Practice address

175 N Bernard St
Powell, WY 82435-2617

Phone

(307) 754-3391

NPI assigned

Jun 15, 2023

Last updated

Jun 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Trevor K Gardner, DMDNPI 1700561024

Title

Owner

Phone

(307) 578-6552

Specialties & licenses 1

Addresses

Other names 1

• Sage Hills Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Trevor K Gardner, DMD

  • General Practice Dentistry
  • Powell, WY
  • NPI 1700561024
  NPD Authorized official
• Larry D Akin, D.D.S., P.C.

  • General Practice Dentistry
  • Powell, WY
  • NPI 1144358268
  NPD (past)

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1033894357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 N BERNARD ST",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352617",
            "telephone_number": "307-754-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N BERNARD ST",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352617",
            "telephone_number": "307-754-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREVOR K. GARDNER DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-578-6552",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sage Hills Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Conne R Tippetts, OTR/L
• Bryan Kenneth Tipton, PA-C, MPAS
• Jessica L Tobin, D.C.
• Joseph Greg Toland, O.D.
• Michael D Tracy, M.D.
• Triangle Cross Ranch
• Trinity Teen Solutions, Inc
• Upstream Health Services, P.C.
• Mandy Jo Venable, RN
• Melissa Dawn Vukich, MS

• Dental Clinic/Center in Powell, WY
• Providers in Powell, WY by specialty
• Dental Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.