IndividualActive
Michael Gardner, DMD
NPI 1467567792 · Oral and Maxillofacial Pathology Dentistry · San Antonio, TX
Provider details
- NPI number
- 1467567792
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 4375 (AL)
Practice location
1100 Wilford Hall Loop Bldg 4554
San Antonio, TX 78236-5638
Phone: (210) 916-6491
Mailing address
1100 Wilford Hall Loop Bldg 4554
San Antonio, TX 78236-5638
Registry dates
- Enumerated
- 2006-08-19
- Last updated
- 2021-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.