Individual
DR. JEFFREY MICHAEL WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3089 E MISSION BLVD, FAYETTEVILLE, AR 72703-4385
(479) 442-6995
Mailing address
3699 BREAKSTONE DR, SPRINGDALE, AR 72764-7872
(479) 445-6227
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3585
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161075608
—
AR
Enumeration date
04/24/2007
Last updated
10/04/2013
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