Gardner, Edward D

Gardner, Edward D is an individual health care provider with primary practice located at 8133 Forest Hill Avenue Suite 201, Richmond VA 23235. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Gardner, Edward D can be contacted via phone (804) 272-2010.

Contact Information

Primary practice address
8133 Forest Hill Avenue Suite 201 Richmond VA 23235
Fax: (804) 330-4703
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0401004634 Virginia

Profile Details

NPI number 1114089299
LBN Legal business name Gardner, Edward D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114089299 NPPES
Virginia Other 180686 WELLPOINT
Virginia Other 180686 WELLPOINT
Virginia Other 401660 WELLPOINT
Virginia Other 180686 WELLPOINT

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