Marcos Antonio Esquivel Cardoso, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

113127 Issued in CA

Practice address

25501 Brainard Ave
Fort Gordon, GA 30905

Phone

(706) 787-7050

NPI assigned

Aug 5, 2026

Last updated

Aug 5, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1255255097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 FURYS FERRY RD STE 100",
            "address_2": "#167",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309078222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25501 BRAINARD AVE",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "30905",
            "telephone_number": "706-787-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESQUIVEL CARDOSO",
        "first_name": "MARCOS",
        "middle_name": "ANTONIO",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "113127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eisenhower Army Medical Center (TMC-4-Ft. Gordon)
• Mattie Anita Elam, PHARM.D.
• Han Eol Eom, DDS
• Jerel James Erne, MD
• Signe Alexis Erne, PHYSICIAN ASSISTANT
• Kimberly Gardner Evans, PHARM. D
• Linda Ann Youngman Evans, M.D.
• Byron James Faler, MD
• Christopher Adam Farabaugh, D.O.
• Rodney Micah Faught II, PA-C

• Dentist in Fort Gordon, GA
• Providers in Fort Gordon, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.