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

Jeffry P. Gardner, DDS

Organization General Practice Dentistry · NPI 1972707008

Jeffry P. Gardner, DDS is a General Practice Dentistry in Maryville, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007

Practice location Address checks out

109 S Buchanan St
Maryville, MO 64468-2384
Phone: (660) 582-4655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2000150769 (MO)

Record details

NPI number1972707008
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffry Gardner — Owner · (660) 582-4655
NPI enumeratedJune 13, 2007
Last updated in NPPESAugust 22, 2020
Mailing address109 S Buchanan St, Maryville, MO 64468-2384

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