Davis Wayne Gardner, DDS
Individual provider Active NPI General Practice Dentistry · Windsor, VA
NPI 1386955508 · NPPES record last updated Jun 23, 2010
Key facts
- NPI
- 1386955508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 0401412847 (VA)
- Practice address
- 70 E Windsor Blvd Ste D
Windsor, VA 23487-9443 - Phone
- (804) 359-5733
- Fax
- (757) 242-6789
- NPI assigned
- Jun 23, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401412847 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harold F. Demsko, D.D.S.,P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401412847 | VA | Yes |
Addresses
Primary practice location
70 E Windsor Blvd Ste D
Windsor, VA 23487-9443
Mailing address
70 E Windsor Blvd Ste D
Windsor, VA 23487-9443
Phone (804) 359-5733
Other providers in Windsor, VA
- Tiffany Chanell Duck
- Benjamin Dunham
- Victoria Eilers
- Family Ties Behavioral Health LLC
- Cassidy Feldt
- Lorrie Saunders Gaskins
- Jorge Eduardo Grandela
- Harold F. Demsko, D.D.S.,P.C.
- Sharon Fohl Hasty
- Allison Redd Holt
All providers in Windsor, VA · General Practice Dentistry in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.