Edward D Gardner Jr Dds Plc | |
8133 Forest Hill Avenue Suite 201 Richmond VA 23235 | |
(804) 272-2010 | |
(804) 330-4703 |
Full Name | Edward D Gardner Jr Dds Plc |
---|---|
Speciality | Dentist |
Location | 8133 Forest Hill Avenue, Richmond, Virginia |
Authorized Official Name and Position | Connie Allen Hensley (FINANCIAL ADMINISTRATOR) |
Authorized Official Contact | 8042722010 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Edward D Gardner Jr Dds Plc 8133 Forest Hill Avenue Suite 201 Richmond VA 23235 Ph: (804) 272-2010 | Edward D Gardner Jr Dds Plc 8133 Forest Hill Avenue Suite 201 Richmond VA 23235 Ph: (804) 272-2010 |
NPI Number | 1043372345 |
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Provider Enumeration Date | 12/14/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043372345 | NPI | - | NPPES |
868458 | Other | VA | UNITED CONCORDIA |
180683 | Other | VA | ANTHEM BCBS WELLPOINT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 0401004634 (Virginia) | Primary |
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