WILLIAM B. GARDNER, D.M.D. P.C. (NPI# 1811135296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811135296 |
| Entity Type | Organization |
| Organization Name | WILLIAM B. GARDNER, D.M.D. P.C. |
| Practice Address |
507 W Gordon St Thomaston GA 30286-3424 |
| Practice Telephone | 7066477914 |
| Practice Fax Number | 7066474543 |
| Mailing Telephone | 7066477914 |
| Mailing Fax Number | 7066474543 |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |
| Authorized Official Name | MRS. LORI FOUNTAIN GARDNER (DENTAL HYGIENIST) |
| Authorized Official Telephone | 7066477914 |
| Authorized Official Credential | RDH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
11133 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | DORAL | 9181304 | 01 |
| GA | 00545124A | 05 | |
| GA | AVESIS | 100417 | 01 |
| Street Address |
507 W GORDON ST |
| City | THOMASTON |
| State | GA |
| Zip Code | 30286-3424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659489987 | William B Gardner | Dentist | 507 W Gordon St, Thomaston, GA 30286 | 2006-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093190670 | Careconnect Health, Inc. | Clinic/Center | 101 Deluxe Circle, Suite B, Thomaston, GA 30286 | 2015-07-24 |
| 1366859092 | Rhanada Shanae Wyche | Licensed Practical Nurse | 1226 Trice Cemetery Spur, Thomaston, GA 30286 | 2014-07-15 |
| 1083842918 | Upson Family Physicians, Lc | Family Medicine | 612 West Gordon Street, Suite C, Thomaston, GA 30286 | 2009-06-30 |
| 1942421557 | Melanie B Jackson | Licensed Practical Nurse | 605 West Gordon, Thomaston, GA 30286 | 2007-05-01 |
| 1114064540 | Kevin Lee Delli-gatti | Pediatrics | 403 W Gordon St, Thomaston, GA 30286 | 2007-02-01 |
| 1356487367 | Fuller Life Chiropractic Center | Chiropractor | 1619 Hwy 19 North, Thomaston, GA 30286 | 2007-01-29 |
| 1013072339 | Tommy Wayne Farr | Dentist | 98 Short E St, Thomaston, GA 30286 | 2006-12-27 |
| 1841301900 | Kenneth Murray Deen | Ophthalmology | 232 Cherokee Road, Thomaston, GA 30286 | 2006-08-31 |
| 1619936895 | Sabrina M. Lancaster | Nurse Practitioner | 503 West Grodon St, Thomaston, GA 30286 | 2006-03-17 |
| 1689714941 | Richard Clayton D.c. P.C. | Chiropractor | 205 Thomas St, Thomaston, GA 30286 | 2007-02-07 |
| Find all providers in zip 30286 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679703870 | Manpuneet Singh | Dentist | 131 Main St Ste 103, Thomaston, CT 06787 | 2009-07-22 |
| 1538376967 | Judith Lombardo | Dentist | 10 Marine St, Suite 6, Thomaston, CT 06787-1470 | 2007-05-16 |
| 1023169067 | Michael Thomas Allen | Dentist | 419 N Church St, Thomaston, GA 30286-3611 | 2007-01-16 |
| 1013072339 | Tommy Wayne Farr | Dentist | 98 Short E St, Thomaston, GA 30286 | 2006-12-27 |
| 1265516538 | Douglas S Johnson | Dentist | 219 Thomas St, Suite B, Thomaston, GA 30286-5452 | 2006-10-24 |
| 1083717664 | Scott B Kingsley | Dentist | 4 Congo Ave, Thomaston, ME 04861 | 2006-09-07 |
| 1578180436 | Dental Professionals of Georgia, P.C. | Dentist | 316 W Main St, Thomaston, GA 30286-3558 | 2020-06-26 |
| 1528694080 | Dental Professionals of Georgia, P.C. | Dentist | 316 W Main St, Thomaston, GA 30286-3558 | 2020-03-17 |
| 1659931137 | Aaron Michael Guimond | Dentist | 17 Thomaston Commons Way, Thomaston, ME 04861-3524 | 2019-06-17 |
| 1679734115 | George E. Lush | Dentist | 131 Main St, Suite 103, Thomaston, CT 06787-1747 | 2008-06-18 |
| Find all providers in THOMASTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.