DR. BENJAMIN J GARDNER (NPI# 1457799488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457799488 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN J GARDNER |
| Credential | D.D.S. |
| Practice Address |
500 N Indiana Ave Winslow AZ 86047 |
| Mailing Address |
4255 E Soliere Ave Apt 215 Flagstaff AZ 86004-7930 |
| Practice Telephone | 9282896226 |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2013-06-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D008660 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093334922 | Benjamin Gardner | Student in an Organized Health Care Education/Training Program | 3500 Gaston Ave, Dallas, TX 75246-2017 | 2020-04-10 |
| 1235622465 | Benjamin Gardner | Emergency Medicine | 981150 Nebraska Medical Ctr, Omaha, NE 68198-1150 | 2018-06-12 |
| 1790186922 | Benjamin John Gardner | Physician Assistant | 8322 Bellona Ave, Suite 100, Towson, MD 21204-2065 | 2014-09-08 |
| Street Address |
500 N INDIANA AVE |
| City | WINSLOW |
| State | AZ |
| Zip Code | 86047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184729493 | Winslow Indian Health Care Center, Inc | Clinic/Center | 500 N Indiana Ave, Winslow, AZ 86047-2169 | 2006-09-13 |
| 1033769302 | Brian Ma | Pharmacist | 500 N Indiana Ave, Winslow, AZ 86047-8604 | 2019-09-18 |
| 1932671377 | Ruth Choi | Pharmacist | 500 N Indiana Ave, Winslow, AZ 86047 | 2018-12-26 |
| 1790154151 | Keone Tyau | Dentist | 500 N Indiana Ave, Winslow, AZ 86004 | 2015-09-16 |
| 1447420591 | Winslow Indian Health Care Ctr Dental | Clinic/Center | 500 N Indiana Ave, Winslow, AZ 86047-2169 | 2008-03-05 |
| 1457539157 | Akdhc, LLC | Internal Medicine | 500 N Indiana Ave, Winslow I.h.s., Winslow, AZ 86047-0000 | 2008-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097350 | Kalp Juthani | Student in an Organized Health Care Education/Training Program | 500 N Indiana Avenue, Winslow, AZ 86047 | 2020-03-11 |
| 1104461268 | Dental Innovations-winslow | Clinic/Center | 722 Mike's Pike Street, #101, Winslow, AZ 86047 | 2019-11-13 |
| 1417505611 | Association of Indigenous Pioneers, Incorporated (aipi) | Non-emergency Medical Transport (VAN) | Nec Navajo Route 15 & 60, Suite #2, Winslow, AZ 86047 | 2019-08-30 |
| 1790347573 | Wilfred Shirley | Counselor | 1/2 Mile Northeast Dilkon Bashas Store, Winslow, AZ 86047 | 2019-07-02 |
| 1871055624 | Mark Ashcraft | Student in an Organized Health Care Education/Training Program | Winslow Indian Health Care Center, 500 North Indiana Ave, Winslow, AZ 86047 | 2019-04-02 |
| 1568928521 | Winslow Indian Health Care Center, Inc | Pharmacy | 1.5 Mile N. Leupp Chapter House, Leupp, AZ 86047 | 2019-02-14 |
| 1659837615 | Winslow Indian Health Care Center, Inc | Pharmacy | 3 Mls S. of Dilkon Chapter Hse., Dilkon, AZ 86047 | 2019-02-14 |
| 1750809836 | Grassroots Medical Supply | Durable Medical Equipment & Medical Supplies | Nec Navajo Route 15 and 60, Suite #2, Winlsow, AZ 86047 | 2017-09-08 |
| 1538697396 | Janell K Dickson | Counselor | 1/4 Mile Ne of Bashas, Dilkon, AZ 86047 | 2017-05-24 |
| 1235599143 | Dennis Peters | Veterinarian | 4301 W Highway 66, Winslow, AZ 86047 | 2016-03-04 |
| Find all providers in zip 86047 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518042209 | Steven Charles Klasson | Dentist | 334 Augusta Rd, Winslow, ME 04901-7167 | 2006-10-25 |
| 1740258227 | Robin Robert Boyd | Dentist | 321 W 2nd St, Winslow, AZ 86047-3406 | 2006-03-09 |
| 1104487222 | Alex Stanco | Dentist | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2019-06-28 |
| 1942707682 | Kimberly Allin Meyers | Dentist | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2018-04-10 |
| 1790154151 | Keone Tyau | Dentist | 500 N Indiana Ave, Winslow, AZ 86004 | 2015-09-16 |
| 1336565175 | Cheryle Ann Singer | Dentist | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2014-03-17 |
| 1710135272 | Yvonne Lee | Dentist | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2008-09-08 |
| 1356599815 | Jong Bum Seo | Dentist | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2008-09-08 |
| 1396869434 | Ira Spritzer | Dentist | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2007-03-16 |
| 1740313055 | Darrin Blackman | Dentist | 500 Indiana Ave, Winslow, AZ 86047-2169 | 2007-03-14 |
| Find all providers in WINSLOW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.