NPI
Michael Raymond Gardner
NPI 1699798371
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- DDS
- Type
- Individual
- Enumeration date
- 2006-07-25
- Last updated
- 2007-07-08
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Specialties
Licenses
- License MN
- 8951
Location
- Practice location
- 1901 6th St SW
- City
- Willmar MN
- Postal code
- 56201-5104
- Phone
- (320) 231-1290
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
General Dentists in Willmar, MN. 22 with this primary taxonomy in the public file.
Other NPIs in Willmar, MN. 999 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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