Individual
DR. MICHAEL JERRY WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4843 HIXSON PIKE STE B, HIXSON, TN 37343-4478
(423) 877-1635
Mailing address
4843 HIXSON PIKE STE B, HIXSON, TN 37343-4478
(423) 877-1635
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS 2195
TN
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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