Provider Demographics
NPI:1306956263
Name:GARNER, GINA K (DDS)
Entity type:Individual
Prefix:DR
First Name:GINA
Middle Name:K
Last Name:GARNER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9303 PINECROFT DR
Mailing Address - Street 2:STE 210
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3180
Mailing Address - Country:US
Mailing Address - Phone:281-825-4980
Mailing Address - Fax:
Practice Address - Street 1:1011 MEDICAL PLAZA DR
Practice Address - Street 2:SUITE 120
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-3249
Practice Address - Country:US
Practice Address - Phone:281-367-3411
Practice Address - Fax:281-367-3538
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX193861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice