Mark Anthony Gardner, DDS is a
Oral & Maxillofacial Surgery based in Mechanicsville, Virginia. Mark Anthony Gardner is licensed to practice in Virginia (license number 0401415704) and his current practice location is
7481 Right Flank Rd Ste 120, Mechanicsville, Virginia. He can be reached at his office (for appointments etc.) via phone at
(804) 559-5416.
NPI number for Mark Anthony Gardner is 1396279949 and his current mailing address is 11545 Nuckols Rd Ste A, Glen Allen, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396279949.
Healthcare Provider's Profile
| Full Name | Mark Anthony Gardner |
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| Gender | Male |
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| Speciality | Oral & Maxillofacial Surgery |
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| Location | 7481 Right Flank Rd Ste 120, Mechanicsville, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1396279949
- Provider Enumeration Date: 04/19/2017
- Last Update Date: 01/29/2024
Medical Identifiers
Medical identifiers for Mark Anthony Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396279949 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 0401415704 (Virginia) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 0401415704 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Anthony Gardner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mark Anthony Gardner, DDS
11545 Nuckols Rd Ste A,
Glen Allen, VA 23059-5666
Ph: (804) 673-8061 | Mark Anthony Gardner, DDS
7481 Right Flank Rd Ste 120,
Mechanicsville, VA 23116-3838
Ph: (804) 559-5416 |
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