MARK A. GARDNER DDS – NPI #1396279949
Oral & Maxillofacial Surgery

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

MARK GARDNER is an oral & maxillofacial surgeon located in MECHANICSVILLE, VA. NPPES has assigned the NPI number 1396279949 to MARK GARDNER on April 19, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 204E00000X from the Health Care Provider Taxonomy code set, which is classified as Oral & Maxillofacial Surgery.

The NPI profile was previously updated about 2 years ago on Jan 29, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARK GARDNER below.

NPI Profile for
MARK A. GARDNER

NPI Number
1396279949
Enumeration Date

(more than 9 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MARK A. GARDNER
Credentials
DDS
Primary location
7481 RIGHT FLANK RD STE 120
MECHANICSVILLE, VA 23116-3838
Phone: (804) 559-5416 Fax:
Mailing address
11545 NUCKOLS RD STE A
GLEN ALLEN, VA 23059-5666
Phone: (804) 673-8061 Fax:
Sole Proprietor
No
Updated
Certification Date
Jan 29, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204E00000X
- Oral & Maxillofacial Surgery (Primary)
VA 0401415704
1223S0112X
- Dentist / Oral and Maxillofacial Surgery
VA 0401415704

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.