Gardner, William Graham

Gardner, William Graham is an sole proprietor health care provider with primary practice located at 1206 Willow Lawn Dr , Richmond VA 23226-1409. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Gardner, William Graham can be contacted via phone (804) 282-6436.

Contact Information

Primary practice address
1206 Willow Lawn Dr Richmond VA 23226-1409
Phone: (804) 282-6436
Fax: (804) 282-8297
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 0401008926 Virginia

Profile Details

NPI number 1134395999
LBN Legal business name Gardner, William Graham
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2008
Last updated May 1st, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134395999 NPPES
Virginia MEDICAID 9178639
Virginia Other 9180199

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