Provider Demographics
NPI:1033270277
Name:WARD, LIZA CHRISTINE (DDS)
Entity Type:Individual
Prefix:DR
First Name:LIZA
Middle Name:CHRISTINE
Last Name:WARD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6749 POST RD
Mailing Address - Street 2:
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852-1838
Mailing Address - Country:US
Mailing Address - Phone:401-885-2260
Mailing Address - Fax:401-885-2267
Practice Address - Street 1:6749 POST RD
Practice Address - Street 2:
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-1838
Practice Address - Country:US
Practice Address - Phone:401-885-2260
Practice Address - Fax:401-885-2267
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI024711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice