Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Lydia Gardner, DMD

Individual provider Periodontics · NPI 1396039293

Dr. Lydia Gardner, DMD is a Periodontics in New York, New York. Practices as a sole proprietor. Licensed in New York and Pennsylvania.

Licensed in
NY, PA
In the registry since
2011
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

99 John St 1608
New York, NY 10038-2903
Phone: (443) 306-6392
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 056640 (NY)
Periodontics Taxonomy 1223P0300X · Licence DS038532 (PA)

Record details

NPI number1396039293
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 8, 2011
Last updated in NPPESJanuary 22, 2014

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