Provider Demographics
NPI:1376949255
Name:GLORIA E WARD, DDS, MS, MIS, PC
Entity Type:Organization
Organization Name:GLORIA E WARD, DDS, MS, MIS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS, MIS, PC
Authorized Official - Phone:804-270-7940
Mailing Address - Street 1:3701 WESTERRE PKWY
Mailing Address - Street 2:SUITE D
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23233-1326
Mailing Address - Country:US
Mailing Address - Phone:804-270-7940
Mailing Address - Fax:804-270-7941
Practice Address - Street 1:3701 WESTERRE PKWY
Practice Address - Street 2:SUITE D
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23233-1326
Practice Address - Country:US
Practice Address - Phone:804-270-7940
Practice Address - Fax:804-270-7941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-05
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment