Provider Demographics
NPI:1790977668
Name:PIEPGRASS, WARD THOMAS (DDS)
Entity Type:Individual
Prefix:DR
First Name:WARD
Middle Name:THOMAS
Last Name:PIEPGRASS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2205 OLMSTEAD CT
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40513-1804
Mailing Address - Country:US
Mailing Address - Phone:859-296-4918
Mailing Address - Fax:
Practice Address - Street 1:3181 BEAUMONT CENTRE CIR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40513-1836
Practice Address - Country:US
Practice Address - Phone:859-223-0011
Practice Address - Fax:859-223-0305
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-15
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY81581223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics