Organization Active NPI

Dr. S. Daniel Gardner DMD, LLC

  • Dental Clinic/Center
  • Charleston, SC
National Provider Identifier
1932376563
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3668 Issued in SC
Legal business name
DR. S. DANIEL GARDNER DMD, LLC
Practice address
849 Harbor View Rd
Charleston, SC 29412-5076
Phone
(843) 795-5565
Fax
(843) 795-2329
NPI assigned
May 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Authorized official

Name
Dr. Stephen Daniel Gardner, DMDNPI 1699728899
Title
Ceo
Phone
(843) 795-5565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3668 SC Primary

Addresses

Primary practice location

849 Harbor View Rd
Charleston, SC 29412-5076

Mailing address

849 Harbor View Rd
Charleston, SC 29412-5076
Phone (843) 795-5565

National Provider Directory

National Provider Directory
Tax ID family
Dr S Daniel Gardner DMD LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1932376563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 HARBOR VIEW RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294125076",
            "telephone_number": "843-795-5565",
            "fax_number": "843-795-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 HARBOR VIEW RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294125076",
            "telephone_number": "843-795-5565",
            "fax_number": "843-795-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. S. DANIEL GARDNER DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-795-5565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "3668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.