Gardner, Mark Anthony
Gardner, Mark Anthony is an individual health care provider with primary practice located at 7481 Right Flank Rd Ste 120 , Mechanicsville VA 23116-3838. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Gardner, Mark Anthony can be contacted via phone (804) 559-5416.Contact Information
Primary practice address
7481 Right Flank Rd Ste 120
Mechanicsville VA 23116-3838
Phone: (804) 559-5416
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 0401415704 | Virginia |
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 0401415704 | Virginia |
Profile Details
| NPI number | 1396279949 |
|---|---|
| LBN Legal business name | Gardner, Mark Anthony |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2017 |
| Last updated | Jan 29th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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