Gary Everard Warner, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

1000739 Issued in DC

Practice address

7610 Pennsylvania Avenue
Suite 302
Forestville, MD 20747

Phone

(301) 735-5137

Fax

(301) 735-5389

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• G & G Dental Group, LLC

  • Dental Clinic/Center
  • Washington, DC
  • NPI 1083275457
  NPD Authorized official
• Warner Dental Care

  • Dentist
  • Forestville, MD
  • NPI 1649612284
  NPD (past) Authorized official
• Warner Implant, TMD, & Sleep Apnea Center

  • Dental Clinic/Center
  • Forestville, MD
  • NPI 1063955631
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1245272350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7603 GEORGIA AVE NW STE 403",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121617",
            "telephone_number": "202-723-2131",
            "fax_number": "202-882-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 PENNSYLVANIA AVENUE",
            "address_2": "SUITE 302",
            "city": "FORESTVILLE",
            "state": "MD",
            "postal_code": "20747",
            "telephone_number": "301-735-5137",
            "fax_number": "301-735-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "GARY",
        "middle_name": "EVERARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "12139",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "1000739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vital Self Physical Therapy, LLC
• Walgreen Co
• Walgreen Co.
• Warner Dental Care
• Warner Implant, TMD, & Sleep Apnea Center
• Bashiyra Williams, MBA
• Dreka Denise Williams, OD
• Dara Rena Wilson, D.C.
• John Wilson III
• Marsha Annette Woodland

• Dentist in Forestville, MD
• Providers in Forestville, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.