# COOTS WARD CROSS DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740359405
- **Authorized official:** DR. BRIAN SCOTT WARD DDS (PRESIDENT)
- **Authorized official phone:** (540) 989-1170

## Contact information

- **Practice address:** 1930 ELECTRIC RD, ROANOKE, VA 24018-1621
- **Practice address phone:** (540) 989-1170
- **Practice address fax:** (540) 989-1173
- **Mailing address:** 1930 ELECTRIC RD, ROANOKE, VA 24018-1621
- **Mailing address phone:** (540) 989-1170
- **Mailing address fax:** (540) 989-1173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 08/22/2020