H. Lee Gardner, Jr. DMD, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1800 Issued in SC

Legal business name

H. LEE GARDNER, JR. DMD, PC

Practice address

509 E Lydia Hwy
Hartsville, SC 29550-6309

Phone

(843) 383-4562

Fax

(843) 332-9701

NPI assigned

Jan 2, 2007

Last updated

Aug 29, 2010By 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

Dr. Harrell Lee Gardner Jr., DMDNPI 1598927253

Title

Dentist

Phone

(843) 383-4562

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Harrell Lee Gardner Jr., DMD

  • Dentist
  • Hartsville, SC
  • NPI 1598927253
  Authorized official Same address or phone

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283040000000",
    "number": "1265599989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 E LYDIA HWY",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295506309",
            "telephone_number": "843-383-4562",
            "fax_number": "843-332-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 E LYDIA HWY",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295506309",
            "telephone_number": "843-383-4562",
            "fax_number": "843-332-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H. LEE GARDNER, JR. DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2010-08-29",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "HARRELL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "843-383-4562",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "1800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z18008",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerry B Griggs
• Sara Elizabeth Griggs, PHARMD
• Jose Nephtali Guevarra, PT
• Guided Journey Day Center LLC
• Adam Keith Gwinn, CRNA, DNAP
• Anna-Leah Hall
• Bridget Hall
• Brian Demetrius Ham, HAIR LOSS SPECIALIST
• Michael E Harless, M.D.
• Elizabeth Harrelson, LPES

• General Practice Dentistry in Hartsville, SC
• Providers in Hartsville, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2010; 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.