Individual
WILLIAM B GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
507 W GORDON ST, THOMASTON, GA 30286
(706) 647-7914
(706) 647-4645
Mailing address
507 W GORDON ST, THOMASTON, GA 30286
(706) 647-7914
(706) 647-4645
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11133
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00545124A
—
GA
Enumeration date
08/28/2006
Last updated
07/08/2007
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