Provider Demographics
NPI:1891035051
Name:CHRIS WARD DDS & ASSOCIATES
Entity Type:Organization
Organization Name:CHRIS WARD DDS & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:K
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:918-274-4466
Mailing Address - Street 1:12814 E 101ST PL N
Mailing Address - Street 2:SUITE 101
Mailing Address - City:OWASSO
Mailing Address - State:OK
Mailing Address - Zip Code:74055-4662
Mailing Address - Country:US
Mailing Address - Phone:918-274-4466
Mailing Address - Fax:918-274-4419
Practice Address - Street 1:12814 E 101ST PL N
Practice Address - Street 2:SUITE 101
Practice Address - City:OWASSO
Practice Address - State:OK
Practice Address - Zip Code:74055-4662
Practice Address - Country:US
Practice Address - Phone:918-274-4466
Practice Address - Fax:918-274-4419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-26
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK55001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK1972638963OtherTYPE 1 NPI
OK5500OtherDENTAL LIC. NUMBER