IndividualActive
Alex Gardner, DDS
NPI 1508650714 · Student in an Organized Health Care Education/Training Program · South Jordan, UT
Provider details
- NPI number
- 1508650714
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
Practice location
10920 S River Front Pkwy
South Jordan, UT 84095-3538
Phone: (660) 254-2135
Approximate (ZIP-level) locationGet directions
Mailing address
2411 Chamee Dr
Maryville, MO 64468-3512
Additional practice locations (1)
- 2336 S Main StMaryville, MO 64468-3622Phone: (660) 254-2135
Registry dates
- Enumerated
- 2025-04-04
- Last updated
- 2025-04-04
- Certified
- 2025-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.