Harrell Lee Gardner Jr., DMD

Primary specialty

DentistTaxonomy code 122300000X

License

1800 Issued in SC

Practice address

935 W Home Ave
Hartsville, SC 29550-4435

Phone

(843) 383-4562

Fax

(843) 332-9701

NPI assigned

Jun 25, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Hartsville Family Dentistry

  • Dentist
  • Hartsville, SC
  • NPI 1710024427
  NPD (past)
• Hartsville Family Dentistry Associates Inc

  • General Practice Dentistry
  • Hartsville, SC
  • NPI 1265942544
  NPD (past)

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1598927253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 969",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295510969",
            "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": "935 W HOME AVE",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504435",
            "telephone_number": "843-383-4562",
            "fax_number": "843-332-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "HARRELL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "1800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z18008",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Everette Ashley Gallman, CRNA
• Sandra Gamble
• Charles Kelly Gandy, PHARM.D,
• Cydney B Gandy, FNP-BC
• Nancy Gandy
• Megan W. Gardner, MS, SSP, LPES
• William Preston Gaskins, RPH
• Fanika George-Steele
• Robin Hope Gibson, LPC, CAC1
• Global Care Project, Inc. (Koinonia Rural Family Medical Center)

• Dentist in Hartsville, SC
• Providers in Hartsville, SC by specialty
• Dentist in South Carolina

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