Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013926872 Individual Practitioner Male Practitioner

Dr. Jonathan Blair Gardner , DDS

Dentist - General Practice • East Carbon, UT

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Gardner, DDS is a registered healthcare professional specializing in Dentist - General Practice in East Carbon, UT. Practice services are available at 331 HIGHWAY 123 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

331 Highway 123

East Carbon, UT 845200930

Telephone 4358884411
Fax 4358882270
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in East Carbon, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
1 Specialists

Practicing in East Carbon, UT (1388 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

CMS Verified: 2020-01-03
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License UT 326378-9922

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

15 Associated Practitioners
Marvin Morrison , APRN

Nurse Practitioner

NPI 1043599004

Advanced Practice Registered Nurse

Steven Young , PA

Physician Assistant

NPI 1114320207

Physician Assistant

Andrea Barney , APRN

Nurse Practitioner

NPI 1366676587

Advanced Practice Registered Nurse

Timothy Callahan , PA-C

Physician Assistant - Medical

NPI 1427064799

Physician Assistant (Certified)

Devin Edwards , CSW

Social Worker - Clinical

NPI 1427445964

Clinical Social Worker

Daniel Gibson

Counselor - Mental Health

NPI 1508275470

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location January 03, 2020

Registered at 331 HIGHWAY 123, EAST CARBON, UT 845200930 (Tel: 4358884411)

📍
Updated Business Mailing Address January 03, 2020

Registered at PO BOX 930, EAST CARBON, UT 845200930 (Tel: 4358884411)

👤
Provider Name / Credentials Updated January 03, 2020

Recorded as JONATHAN GARDNER, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2020

Dentist (License #326378-9922 in UT)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 12684 S REDWOOD RD, RIVERTON, UT 840656695 (Tel: 8014468446)

📍
Updated Business Mailing Address July 08, 2007

Registered at 12684 S REDWOOD RD, RIVERTON, UT 840656695 (Tel: 8014468446)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHNATHAN GARDNER, D.D.S.

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

Dentist (License #5144886 in UT)

🟢
Initial NPI Registration & Enumeration August 07, 2006

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: 1013926872
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2006
Last Update: January 03, 2020
Sole Proprietor: Yes

Mailing Address

Po Box 930

East Carbon, UT 845200930

Phone: 4358884411

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.