Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gardner Pediatric Dentistry LLC

Organization Pediatric Dentistry · NPI 1437558137

Gardner Pediatric Dentistry LLC is a Pediatric Dentistry in Springfield, Missouri. Works from 3 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1250 E Walnut Lawn St
Springfield, MO 65804-4202
Phone: (417) 396-7318
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 716 W Mount Vernon St, Nixa, MO 65714-9682 — (417) 719-7862
  • 764 Us Highway 60 E, Republic, MO 65738-1524 — (417) 719-7862

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 2012019137 (MO)

Record details

NPI number1437558137
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jesse Gardner — Owner · (417) 719-7862
Other names Expedition Pediatric Dentistry & Orthodontics
NPI enumeratedAugust 19, 2014
Last updated in NPPESDecember 11, 2024
Certification dateDecember 11, 2024
Mailing address1250 E Walnut Lawn St, Springfield, MO 65804-4202

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