GARDNER ORTHODONTICS (NPI# 1538709514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538709514 |
| Entity Type | Organization |
| Organization Name | GARDNER ORTHODONTICS |
| Practice Address |
518 Hollyberry Lane Suite 105 Orange Park FL 32065 |
| Practice Telephone | 9048020767 |
| Mailing Telephone | 9048020767 |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-08 |
| Authorized Official Name | THOMAS L. GARDNER (DMD - OWNER) |
| Authorized Official Telephone | 4807038198 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497039341 | Gardner Orthodontics | Dentist | 1521 W Wilson Rd, Pahrump, NV 89048-4213 | 2011-10-10 |
| Street Address |
518 HOLLYBERRY LANE SUITE 105 |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093366205 | Milagros J Morales | Nurse Practitioner | 625 Oakleaf Plantation Parkway, Unit 815, Orange Park, FL 32065 | 2019-09-28 |
| 1396239570 | Rebekah Lynne Fronczak | Assistant Behavior Analyst | 575 Oakleaf Plantation Pkwy, 1210, Orange Park, FL 32065 | 2018-06-20 |
| 1124512942 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 1081 Oakleaf Plantation Pkwy, Orange Park, FL 32065 | 2018-06-15 |
| 1447637772 | Petergay Angeleque Sterling | Counselor | 2114 Club Lake Drive, Orange Park, FL 32065 | 2015-05-06 |
| 1073942991 | Joy L. Dozier Smith | Social Worker | 1363 Akron Oaks Drive, Orange Park, FL 32065 | 2013-11-01 |
| 1942635800 | Demetta Vereen | Counselor | 573 Oakleaf Plantation Pkwy Unit 126, Orange Park, FL 32065 | 2013-09-11 |
| 1902248412 | Bashar Adeinat | Dentist | 1340 Blanding Blvd Ste 108, Orange Park, FL 32065 | 2013-07-25 |
| 1912253030 | Physical Therapy and Rehabilitation Clinic Inc | Physical Therapist | 1075 Oakleaf Plantation Parkway, Suite 105, Orange Park, FL 32065 | 2012-07-26 |
| 1275894529 | Stacy Quinn | Family Medicine | 769 Blanding Blvd Ste 7, Orange Park, FL 32065 | 2012-06-04 |
| 1346533429 | Erika Christina Melecio | Counselor | 2624 Sandlewood Circle, Orange Park, FL 32065 | 2011-05-23 |
| Find all providers in zip 32065 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063811644 | Thomas Levier Gardner | Dentist | 518 Hollyberry Ln Ste 105, Orange Park, FL 32065-5290 | 2014-08-19 |
| 1770847873 | Derek Adam Hoffman | Dentist | 1406 Kingsley Ave Ste B, Orange Park, FL 32073-4528 | 2012-07-03 |
| 1699821074 | Jossette Trinh Vo | Dentist | 5000 Us Highway 17 Ste 4, Orange Park, FL 32003-8237 | 2007-01-26 |
| 1942354386 | John P Peden | Dentist | 1406 Kingsley Avenue, Orange Park, FL 32073 | 2007-01-23 |
| 1023127370 | Robert P Fields | Dentist | 2580 Country Side Dr, Orange Park, FL 32003-4949 | 2006-08-30 |
| 1184637571 | Andrew Burford Brown | Dentist | 2217 Kingsley Ave, Orange Park, FL 32073-5115 | 2006-08-15 |
| 1487149290 | Family Orthodontics of Florida, Pllc | Dentist | 2217 Kingsley Ave, Orange Park, FL 32073-5115 | 2018-06-25 |
| 1124402912 | Hoffman Orthodontics Pa | Dentist | 1406 Kingsley Ave, Ste B, Orange Park, FL 32073-4590 | 2015-07-13 |
| 1225447493 | Julia Lipkin | Dentist | 1340 Blanding Blvd Ste 108, Orange Park, FL 32065-8052 | 2014-08-12 |
| 1023143922 | Alan D Shoopak Dmd Orthodontic Group Ix, LLC | Dentist | 1670 Eagle Harbor Pkwy, Ste. A, Orange Park, FL 32003-4806 | 2007-02-22 |
| Find all providers in ORANGE PARK | ||||
| City | ORANGE PARK |
| Zip Code | 32065 |
Please comment or provide details below to improve the information on GARDNER ORTHODONTICS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.