Individual
DR. JON D WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
406 E THREE NOTCH ST, STE E, ANDALUSIA, AL 36420-3167
(334) 222-4222
(334) 222-7456
Mailing address
406 E THREE NOTCH ST, STE E, ANDALUSIA, AL 36420-3167
(334) 222-4222
(334) 222-7456
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4207
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0187306
BLUE CROSS OF TN
TN
01
—
510-90519
BLUE CROSS OF AL
AL
01
—
823268
TRICARE PROVIDER #
AL
Enumeration date
08/18/2006
Last updated
07/09/2007
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