Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Chad M Gardner DDS a Professional Dental Corporation

Organization Dentist · NPI 1124395389

Chad M Gardner DDS a Professional Dental Corporation provides Dentist services in Bastrop, Louisiana. Licensed in Louisiana. Registered with an NPI since 2011.

Licensed in
LA
In the registry since
2011

Practice location Address checks out

625 S Washington St
Bastrop, LA 71220-5034 Not confirmed with CMS for 14 years — call before visiting
Phone: (318) 281-5972
Fax: (318) 281-9964
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 5638 (LA)

Record details

NPI number1124395389
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chad Gardner — Owner/Dentist · (318) 281-5972
NPI enumeratedNovember 16, 2011
Last updated in NPPESNovember 16, 2011
Mailing address625 S Washington St, Bastrop, LA 71220-5034

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