MARY KATHERYN GARDNER
NPI 1588086680
Dental Assistant in Redondo Beach, CA

Active since January 09, 2014
18515 MANSEL AVE, REDONDO BEACH, CA 90278(310) 507-5756 Get Directions Write a Review

NPPES record last updated: January 9, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Katheryn Gardner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY KATHERYN GARDNER (NPI 1588086680) is an individual dental assistant in Redondo Beach, California, licensed in California (68677) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1588086680
Entity TypeIndividualFemale
Primary Taxonomy126800000X
Provider Legal NameMARY KATHERYN GARDNER
Location Address18515 MANSEL AVERedondo Beach, CA 90278-4642
Mailing Address18515 Mansel AveRedondo Beach, CA 90278-4642 · (310) 507-5756
Sole ProprietorNo
Enumeration DateJanuary 9, 2014
NPI 1588086680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDental AssistantDental Providers
Taxonomy Code126800000X
License Licensed in CA · 68677
Definition
An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
18515 MANSEL AVE, Redondo Beach, CA 90278

Other Identifiers 1

Other68677CA · Rda License

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Gardner's NPI number?

The NPI number for Mary Gardner is 1588086680. It was assigned to this individual provider in the NPPES registry on January 9, 2014.

Where is Mary Gardner located?

Mary Gardner practices at 18515 Mansel Ave, Redondo Beach, CA 90278. The listed phone number is (310) 507-5756.

What is Mary Gardner's specialty?

The primary specialty registered for this NPI is Dental Assistant with taxonomy code 126800000X.

When was this NPI record last updated?

The NPPES record for Mary Gardner was last updated on January 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.