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Deactivated NPI 1912039322 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Phillip Gardner , DDS

Dentist • Portsmouth, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Gardner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 12, 2007
NPI Deactivation Date August 03, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Gardner, DDS was a registered Dentist practicing in Portsmouth, OH. Throughout an active medical career spanning 13 years, Dr. Gardner provided care at the practice location at 1112 GALLIA ST until profile deactivation on 2020-08-03.

Practice Location & Contact Primary Location

Practice Address

1112 Gallia St

Portsmouth, OH 456624161

Telephone 7403510880
Fax 7403510890
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Portsmouth, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
12 Specialists

Practicing in Portsmouth, OH (2953 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OH 30012008

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1043347271

Doctor of Dental Surgery

NPI 1134250947

Doctor of Dental Surgery

Dr. Sung Jin Min , DDS

Dentist - General Practice

NPI 1689013609

Doctor of Dental Surgery

Nancy Clark , QMHS

Case Manager/Care Coordinator

NPI 1881233583
Lee Bramblett , BSN, RN

Registered Nurse

NPI 1891349049

Bachelor of Science in Nursing, Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 03, 2020

Record deactivated on August 03, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1112 GALLIA ST, PORTSMOUTH, OH 456624161 (Tel: 7403510880)

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Updated Business Mailing Address July 08, 2007

Registered at 9077 MOORS PL N, DUBLIN, OH 430179049 (Tel: 7403510880)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT GARDNER, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #30012008 in OH)

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Initial NPI Registration & Enumeration March 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912039322
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 12, 2007
Last Update: July 08, 2007
Deactivation Date: August 03, 2020

Mailing Address

9077 Moors Pl N

Dublin, OH 430179049

Phone: 7403510880

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.