Organization Active NPI

Russell W Gardner DDS PLLC

  • Dental Clinic/Center
  • Rogers, AR
National Provider Identifier
1689598542
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RUSSELL W GARDNER DDS PLLC
Practice address
620 N 13TH St
Rogers, AR 72756-3434
Phone
(479) 903-1243
NPI assigned
Aug 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Dr. Russell Ward Gardner, DDS
Title
Dentist
Phone
(479) 903-1243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

620 N 13TH St
Rogers, AR 72756-3434

Mailing address

13995 Byler Rd
Garfield, AR 72732-9514
Phone (479) 903-1243

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1689598542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13995 BYLER RD",
            "city": "GARFIELD",
            "state": "AR",
            "postal_code": "727329514",
            "telephone_number": "479-903-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N 13TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563434",
            "telephone_number": "479-903-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL W GARDNER DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "WARD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "479-903-1243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.