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

Thayne Henrie Gardner, DDS

Individual provider Pediatric Dentistry · NPI 1073804001

Thayne Henrie Gardner, DDS is a Pediatric Dentistry in South Jordan, Utah. Practices as a sole proprietor. Licensed in Idaho and Utah.

Licensed in
ID, UT
In the registry since
2011
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1268 W South Jordan Pkwy Ste 101
South Jordan, UT 84095-4652
Phone: (801) 446-8007
Fax: (801) 676-1030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 9246474 (UT)
Pediatric Dentistry Taxonomy 1223P0221X · Licence D-4480-PD (ID)

Record details

NPI number1073804001
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 25, 2011
Last updated in NPPESFebruary 10, 2016
Mailing address1268 W South Jordan Pkwy, Suite 101, South Jordan, UT 84095-4652

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