Rodney Gardner, D.D.S.
Individual provider Active NPI General Practice Dentistry · Tremonton, UT
NPI 1740306158 · NPPES record last updated Jan 4, 2024
Key facts
- NPI
- 1740306158
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2759879921 (UT)
- Practice address
- 814 E Main St
Tremonton, UT 84337-6733 - Phone
- (435) 257-3880
- Fax
- (435) 257-3887
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170601002634 | UT | Order and Referring Only - Dentist |
2567739121 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2759879921 | UT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 3G Dental LLC | General Practice | Current |
Accepting new patients |
| 3Gdental LLC | Current |
Accepting new patients |
Locations
814 E Main St
Tremonton, UT 84337
Phone (435) 230-8030
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2759879921 | UT | Yes |
Addresses
Primary practice location
814 E Main St
Tremonton, UT 84337-6733
Mailing address
814 E Main St
Tremonton, UT 84337-6733
Phone (435) 257-3380
Other providers in Tremonton, UT
- Anthony Farlaino
- Morgan Farnsworth
- Brooke Freeze
- Jonathan M Gardner
- Ricky Lane Gardner
- Rodney Tyson Gardner I
- John Joseph Gauruder
- Kristina C Gerlach
- David Ariel Gonzalez
- Tamara Lee Goodrich
All providers in Tremonton, UT · General Practice Dentistry in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.