Provider Demographics
NPI:1093909913
Name:GARDY, JUNEE F (DDS)
Entity Type:Individual
Prefix:DR
First Name:JUNEE
Middle Name:F
Last Name:GARDY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1044 CASTELLO DR
Mailing Address - Street 2:#109
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-8901
Mailing Address - Country:US
Mailing Address - Phone:239-262-1233
Mailing Address - Fax:239-403-8900
Practice Address - Street 1:1044 CASTELLO DR
Practice Address - Street 2:#109
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-8901
Practice Address - Country:US
Practice Address - Phone:239-262-1233
Practice Address - Fax:239-403-8900
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN16550122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist