Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1881205904 Individual Practitioner Female Practitioner

Dr. Bianca Elisa Gardner , DMD

Dentist • Niceville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Bianca Gardner, DMD is a registered healthcare professional specializing in Dentist in Niceville, FL. Practice services are available at 4579 E HIGHWAY 20 STE 210 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4579 E Highway 20 Ste 210

Niceville, FL 325789810

Telephone 8508974200
Associated Practice Facility / Clinic
🏢 Mid Bay Dental Pllc Facility NPI 1528427739

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Niceville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
15 Specialists

Practicing in Niceville, FL (6414 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-28
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL 31296

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License
10470 (KY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Jordan Harper , DMD

Dentist - General Practice

NPI 1023419918

Doctor of Dental Medicine

NPI 1174903470

Doctor of Dental Surgery

NPI 1710468723

Doctor of Dental Medicine

NPI 1841210267

Doctor of Dental Surgery

Dr. Nancy Hughes , DMD

Dentist - General Practice

NPI 1972127751

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location May 28, 2026

Registered at 4579 E HIGHWAY 20 STE 210, NICEVILLE, FL 325789810 (Tel: 8508974200)

📍
Updated Business Mailing Address May 28, 2026

Registered at 4579 E HIGHWAY 20 STE 210, NICEVILLE, FL 325789810 (Tel: 8508974200)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2026

Dentist (License #31296 in FL)

📍
Updated Practice Location December 12, 2022

Registered at 2940 STANLEY RD, SAN ANTONIO, TX 782342740 (Tel: 2102954095)

📍
Updated Business Mailing Address November 08, 2022

Registered at 2940 STANLEY RD, SAN ANTONIO, TX 782342740 (Tel: 2102954095)

NPI Profile Active August 14, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location August 14, 2020

Registered at BUILDING 9900 LINCOLN STREET, TACOMA, WA 984310001 (Tel: 2539684079)

📍
Updated Business Mailing Address August 14, 2020

Registered at BUILDING 9900 LINCOLN STREET, TACOMA, WA 984310001

👤
Provider Name / Credentials Updated August 14, 2020

Recorded as BIANCA GARDNER, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2020

Dentist (License #10470 in KY)

🟢
Initial NPI Registration & Enumeration August 12, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1881205904
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2020
Last Update: May 28, 2026
Sole Proprietor: Yes

Mailing Address

4579 E Highway 20 Ste 210

Niceville, FL 325789810

Phone: 8508974200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.