Provider Demographics
NPI:1922056654
Name:GARGER, JONATHAN H (DMD)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:H
Last Name:GARGER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1379 MAYBANK HWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412
Mailing Address - Country:US
Mailing Address - Phone:843-330-8889
Mailing Address - Fax:439-990-9504
Practice Address - Street 1:1379 MAYBANK HWY
Practice Address - Street 2:SUITE B
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29412
Practice Address - Country:US
Practice Address - Phone:843-330-8889
Practice Address - Fax:439-990-9504
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA400761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice