IndividualActive
Mark Gardner, DDS
NPI 1396279949 · Oral & Maxillofacial Surgery (D.M.D.) · Mechanicsville, VA
Provider details
- NPI number
- 1396279949
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 0401415704 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Dental Providers
Practice location
7481 Right Flank Rd Ste 120
Mechanicsville, VA 23116-3838
Phone: (804) 559-5416
Approximate (ZIP-level) locationGet directions
Mailing address
11545 Nuckols Rd Ste a
Glen Allen, VA 23059-5666
Registry dates
- Enumerated
- 2017-04-19
- Last updated
- 2024-01-29
- Certified
- 2024-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.