Provider Demographics
NPI:1528186160
Name:GARNER, LESTER RAY JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:LESTER
Middle Name:RAY
Last Name:GARNER
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:RAY
Other - Middle Name:
Other - Last Name:GARNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:365 E LOMOND VIEW DR
Mailing Address - Street 2:
Mailing Address - City:NORTH OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84414-2269
Mailing Address - Country:US
Mailing Address - Phone:801-782-9269
Mailing Address - Fax:801-605-3590
Practice Address - Street 1:365 E LOMOND VIEW DR
Practice Address - Street 2:
Practice Address - City:NORTH OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84414-2269
Practice Address - Country:US
Practice Address - Phone:801-782-9269
Practice Address - Fax:801-605-3590
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1437051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice