Individual
DR. WILLIAM EARLE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
109 N 17TH ST, FORT SMITH, AR 72901-3223
(479) 782-6021
(479) 709-0161
Mailing address
PO BOX 1059, ROLAND, OK 74954-1059
(918) 427-0772
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3510
AR
122300000X
Dentist
4720
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183537608
—
AR
Enumeration date
11/20/2006
Last updated
10/14/2010
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