Gardner Dental Corporation

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

61418 Issued in CA

Legal business name

GARDNER DENTAL CORPORATION

Doing business as

Euclid Family Dentistry

Practice address

211 N Euclid Ave
Ontario, CA 91762-3512

Phone

(909) 983-9639

Fax

(909) 983-1939

NPI assigned

Mar 26, 2017

Last updated

Mar 26, 2017By 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

Michael Dean Gardner, DDS

Title

President

Phone

(909) 983-9639

Specialties & licenses 1

Addresses

Other names 1

• Euclid Family Dentistry Doing business as

Locations

Practitioners 1

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.

• William H Stanley, D.D.S.

  • General Practice Dentistry
  • Ontario, CA
  • NPI 1942363023
  NPD (past)

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

{
    "created_epoch": "1490486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490486400000",
    "number": "1235660747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N EUCLID AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N EUCLID AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623512",
            "telephone_number": "909-983-9639",
            "fax_number": "909-983-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDNER DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-26",
        "last_updated": "2017-03-26",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-983-9639",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "61418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Euclid Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victoria Anita Garcia
• William Marcel Garcia
• Yasmin Garcia
• Yvette Garcia, M.S.
• Sandy Garcilazo
• Joycelyn Gardner, RN
• Garfield Beach CVS LLC (CVS Pharmacy #09727)
• Garfield Beach CVS LLC (CVS Pharmacy #17320)
• Garfield Beach CVS, L.L.C. (CVS Pharmacy #17893)
• Alexandria Frances Garibay

• Health Maintenance Organization in Ontario, CA
• Providers in Ontario, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2017; 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.