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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MAVIS DENTAL
NPI 1861303646
Clinic/Center - Dental in Glen Allen, VA

Active since September 14, 2026
4805 LAKE BROOK DR STE 150, GLEN ALLEN, VA 23060(804) 396-1213 Get Directions Write a Review

NPPES record added: September 14, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Mavis Dental NPPES

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

MAVIS DENTAL (NPI 1861303646) is a healthcare organization registered as a dental in Glen Allen, Virginia and active in the NPI registry since September 2026. The organization lists Davis Wayne Gardner, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1861303646
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMAVIS DENTAL
Location Address4805 LAKE BROOK DR STE 150Glen Allen, VA 23060-9278
Mailing Address4805 Lake Brook Dr Ste 150Glen Allen, VA 23060-9278 · (804) 396-1213
Phone(804) 396-1213
Organization SubpartNo
Authorized OfficialDavis Wayne GardnerOwner/doctor · (804) 396-1213
Enumeration DateSeptember 14, 2026
NPPES CertifiedSeptember 11, 2026
✔ NPI 1861303646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
4805 LAKE BROOK DR STE 150, Glen Allen, VA 23060
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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 Mavis Dental's NPI number?

The NPI number for Mavis Dental is 1861303646. It was assigned to this organization in the NPPES registry on September 14, 2026.

Where is Mavis Dental located?

Mavis Dental is located at 4805 Lake Brook Dr Ste 150, Glen Allen, VA 23060. The listed phone number is (804) 396-1213.

What is Mavis Dental's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Mavis Dental was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.