| William B. Gardner, D.m.d. P.c. | |
|
507 W Gordon St Thomaston GA 30286-3424 | |
| (706) 647-7914 | |
| (706) 647-4543 |
| Full Name | William B. Gardner, D.m.d. P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 507 W Gordon St, Thomaston, Georgia |
| Authorized Official Name and Position | Lori Fountain Gardner (DENTAL HYGIENIST) |
| Authorized Official Contact | 7066477914 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William B. Gardner, D.m.d. P.c. 507 W Gordon St Thomaston GA 30286-3424 Ph: (706) 647-7914 | William B. Gardner, D.m.d. P.c. 507 W Gordon St Thomaston GA 30286-3424 Ph: (706) 647-7914 |
| NPI Number | 1811135296 |
|---|---|
| Provider Enumeration Date | 01/23/2009 |
| Last Update Date | 01/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811135296 | NPI | - | NPPES |
| 100417 | Other | GA | AVESIS |
| 9181304 | Other | GA | DORAL |
| 00545124A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 11133 (Georgia) | Primary |
Douglas S. Johnson, Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 219 Thomas St, Suite B, Thomaston, GA 30286 Phone: 706-647-5437 Fax: 706-646-2414 | |
Dental Professionals Of Georgia, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 W Main St, Thomaston, GA 30286 Phone: 706-647-5575 |