Provider Demographics
NPI:1568901262
Name:GLORIA WARD DDS, MS, MIS, PC
Entity Type:Organization
Organization Name:GLORIA WARD DDS, MS, MIS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:
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?:Yes
Parent Organization LBN:CENTRAL VIRGINIA DENTAL CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-02-15
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty