Provider Demographics
NPI:1902805997
Name:GARNER, DAVID TOD (DDS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:TOD
Last Name:GARNER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2363 DUNN AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32218-4601
Mailing Address - Country:US
Mailing Address - Phone:904-751-6030
Mailing Address - Fax:904-751-5828
Practice Address - Street 1:2363 DUNN AVE
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32218-4601
Practice Address - Country:US
Practice Address - Phone:904-751-6030
Practice Address - Fax:904-751-5828
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN96111223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics