Mary Stephany Gardner, CRDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

0402207699 Issued in VA

Practice address

12351 Dillingham SQ
Woodbridge, VA 22192-5251

Phone

(239) 910-5553

NPI assigned

Apr 28, 2020

Sex

Female

Sole proprietor

Yes

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": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1316568652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 EBENEZER CHURCH RD APT 13",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225563881",
            "telephone_number": "239-910-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12351 DILLINGHAM SQ",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925251",
            "telephone_number": "239-910-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "MARY",
        "middle_name": "STEPHANY",
        "credential": "CRDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "VA",
            "license": "0402207699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nilay Gandhi, MD
• Nicole R Ganow
• Laura Lee Gant, MSPT
• Stephanie Esmeralda Garcia-Fuentes
• Tatiana Garcia
• Laci Love Garrett, RPH,PHARMD
• Claire Caine Garvey
• Stephen Gaskill
• Gastrointestinal Specialists LLC
• Azucena Gault, CRNA

• Dental Hygienist in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Dental Hygienist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.