WM Graham Gardner DDS PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

0401008926 Issued in VA

Legal business name

WM GRAHAM GARDNER DDS PC

Practice address

1206 Willow Lawn Drive
Richmond, VA 23226-1409

Phone

(804) 282-6436

Fax

(804) 282-8297

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

William Graham Gardner, DDS

Title

Owner

Phone

(804) 282-6436

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Richard A Lettew DDS Ltd Former legal business name

Locations

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972513208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 WILLOW LAWN DRIVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261409",
            "telephone_number": "804-282-6436",
            "fax_number": "804-282-8297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 WILLOW LAWN DRIVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261409",
            "telephone_number": "804-282-6436",
            "fax_number": "804-282-8297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WM GRAHAM GARDNER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "GRAHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-282-6436",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401008926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9178639",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard A Lettew DDS Ltd",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• William Wittig, LCSW
• Bernard F Wittkamp, MD
• Michael Joseph Wittkamp, MD
• John J Wittman Jr., M.D.
• Dennis D Wixted, M.D.
• Jonathan Mark Wohlford, DDS
• Natalia Beata Wojciechowska
• Alexis Victoria Wojcik, DNAP
• Devon S Wojcikewych, MD
• Woke Enterprise LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Richmond, VA
• Providers in Richmond, VA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.