Jeffrey J. Gardner,DMD,PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3163 Issued in SC

Legal business name

JEFFREY J. GARDNER,DMD,PA

Doing business as

Smiling Oak Dentistry

Practice address

1077 Johnnie Dodds Blvd
Mt Pleasant, SC 29464-3155

Phone

(843) 884-0335

Fax

(843) 884-6399

NPI assigned

Jul 27, 2015

Last updated

Jul 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Jerome Gardner, D.M.D.NPI 1184704801

Title

Owner

Phone

(843) 884-0335

Specialties & licenses 1

Addresses

Other names 1

• Smiling Oak Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Jerome Gardner, D.M.D., P.A.

  • General Practice Dentistry
  • Mount Pleasant, SC
  • NPI 1184704801
  NPD (past) Authorized official

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1992180319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 JOHNNIE DODDS BLVD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643155",
            "telephone_number": "843-884-0335",
            "fax_number": "843-884-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 JOHNNIE DODDS BLVD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643155",
            "telephone_number": "843-884-0335",
            "fax_number": "843-884-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY J. GARDNER,DMD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-884-0335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiling Oak Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Avery Lauren Jarvis
• Courtney Izzo Jarvis, PHARMD
• Damian Jasik, DDS
• Jason S. Annan, DDS LLC
• JCRK Management Inc
• Jaellene Nawehiuilani Jellico, FNP
• Jacqueline Joanne Jemsek, LPC, NCC
• Alexandra Nicole Jennings
• Kylie Jester
• Holly Jetter

• General Practice Dentistry in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.