William B. Gardner, D.M.D. P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11133 Issued in GA

Legal business name

WILLIAM B. GARDNER, D.M.D. P.C.

Practice address

507 W Gordon St
Thomaston, GA 30286-3424

Phone

(706) 647-7914

Fax

(706) 647-4543

NPI assigned

Jan 23, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Lori Fountain Gardner, RDH

Title

Dental Hygienist

Phone

(706) 647-7914

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William B Gardner, DMD

  • Dentist
  • Thomaston, GA
  • NPI 1659489987
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1811135296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 W GORDON ST",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863424",
            "telephone_number": "706-647-7914",
            "fax_number": "706-647-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 W GORDON ST",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863424",
            "telephone_number": "706-647-7914",
            "fax_number": "706-647-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM B. GARDNER, D.M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-23",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "FOUNTAIN",
        "authorized_official_title_or_position": "DENTAL HYGIENIST",
        "authorized_official_telephone_number": "706-647-7914",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "11133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "100417",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "9181304",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00545124A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Smith White, LPN
• Anita Cestello Whitmore, LPC
• Joseph Gary Wilkins
• Tajanai Nakylar Elizabeth Wilkins
• Thomas Edward Wilkins, LDO
• Ashley Michelle Williams-Hernandez, M.D.
• Benjamin Paul Williams, MD
• Ricky D Williams, RPH
• Tammie Ann Williams, NP-C
• Meredith Cook Willis, PHARMD

• General Practice Dentistry in Thomaston, GA
• Providers in Thomaston, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.