Provider Demographics
NPI:1790949550
Name:WARD, MARGARET REBECCA SANDERS (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:REBECCA SANDERS
Last Name:WARD
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1470 TOBIAS GADSON BLVD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-4707
Mailing Address - Country:US
Mailing Address - Phone:843-571-5644
Mailing Address - Fax:843-571-5647
Practice Address - Street 1:1470 TOBIAS GADSON BLVD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-4707
Practice Address - Country:US
Practice Address - Phone:843-571-5644
Practice Address - Fax:843-571-5647
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4498122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC4498OtherSC DENTAL LICENSE