# WILLIAM C. GARDNER DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154767259
- **Authorized official:** DR. WILLIAM C GARDNER DDS (PRESIDENT)
- **Authorized official phone:** (505) 828-2669

## Contact information

- **Practice address:** 8200 CARMEL AVE NE STE 101, ALBUQUERQUE, NM 87122-2942
- **Practice address phone:** (505) 828-2669
- **Practice address fax:** (505) 828-2716
- **Mailing address:** 8200 CARMEL AVE NE STE 101, ALBUQUERQUE, NM 87122-2942
- **Mailing address phone:** (505) 828-2669
- **Mailing address fax:** (505) 828-2716

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | — |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2013
- **Last updated:** 05/15/2013