Most Relevant Information
Provider Data
| NPI Number: | 1003669862 |
| Provider Name: | BRYCE TANNER GARDNER DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 13899356-9926 |
Most Important Dates
| Enumeration Date: | 04/10/2024 |
| Last Updated: | 04/10/2024 |
Provider Practice Location
218 E 800 S
OREM
UT
840585008
Practice Location Phone/Fax
| Phone: | 5208505708 |
| Fax: |
Provider Mailing Location
417 MILLCREEK RD
PLEASANT GROVE
UT
840628814
Provider Mailing Phone/Fax
| Phone: | 5208505708 |
| Fax: |