IndividualActive
Jenna Gardner
NPI 1780353250 · Dental Hygienist · Golden Valley, MN
Provider details
- NPI number
- 1780353250
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- H11187 (MN)
Specialties & taxonomies
Dental Providers
Practice location
5851 Duluth St Ste 100
Golden Valley, MN 55422-3955
Phone: (763) 546-1301
Approximate (ZIP-level) locationGet directions
Mailing address
809 Levanger Ln
Stoughton, WI 53589-4614
Registry dates
- Enumerated
- 2021-09-08
- Last updated
- 2021-09-08
- Certified
- 2021-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.