Donna L. Gardner, D.D.S.,P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

6866 Issued in IA

Legal business name

DONNA L. GARDNER, D.D.S.,P.C.

Practice address

3500 S Lakeport St
Sioux City, IA 51106-4516

Phone

(712) 276-5547

Fax

(712) 276-9099

NPI assigned

Apr 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Donna Lynn Gardner, DDS

Title

Owner

Phone

(712) 276-5547

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1891960282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 S LAKEPORT ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064516",
            "telephone_number": "712-276-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 S LAKEPORT ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064516",
            "telephone_number": "712-276-5547",
            "fax_number": "712-276-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA L. GARDNER, D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-276-5547",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IA",
            "license": "6866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Dental Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.