Quinton Wayne Gardner, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7791 Issued in AZ

Practice address

944 N Gilbert Rd Ste 104
Mesa, AZ 85203-5836

Phone

(480) 649-7200

Fax

(480) 649-7219

NPI assigned

Jul 8, 2008

Last updated

Jan 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ge Dental PLLC

  dba Gilbert Road Dental Care

  • Dental Clinic/Center
  • Mesa, AZ
  • NPI 1447898481
  NPD Authorized official
• Bramwell Dentistry

  • Dental Clinic/Center
  • Mesa, AZ
  • NPI 1336524636
  NPD (past)

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1861655953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 N GILBERT RD STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852035836",
            "telephone_number": "480-649-7200",
            "fax_number": "480-649-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 N GILBERT RD STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852035836",
            "telephone_number": "480-649-7200",
            "fax_number": "480-649-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "QUINTON",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9119",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D07791",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D7791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayton Gardner
• Jeffrey W Gardner, PT, DPT
• Kisha M. Gardner, SLPA
• Mara Gardner
• Monce Gardner
• Shaun Patrick Gardner, DDS
• Swandelyn Gardner, LPC
• Terry Franklin Gardner, DDS
• Ameesh K Garg, MD
• Ashok Garg, M.D.

• General Practice Dentistry in Mesa, AZ
• Providers in Mesa, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.