William B. Gardner, D.m.d. P.c.

NPI #1811135296 in Thomaston, Georgia

Provider Information

NPI Number: 1811135296
Entity Type: Organization
Organization Name: William B. Gardner, D.m.d. P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 23, 2009
Last Updated: Jan 23, 2009

Practice Location

Address: 507 W GORDON ST
City: Thomaston
State: Georgia
ZIP Code: 30286-3424
Phone: (706) 647-7914

Authorized Official

Name: MRS. LORI FOUNTAIN GARDNER, RDH
Title: DENTAL HYGIENIST
Phone: (706) 647-7914

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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