| Ryan D. Ward,d.d.s.llc | |
|
3050 Forsythe Ave Monroe LA 71201-3012 | |
| (318) 387-6222 | |
| (318) 387-1244 |
| Full Name | Ryan D. Ward,d.d.s.llc |
|---|---|
| Speciality | Dentist |
| Location | 3050 Forsythe Ave, Monroe, Louisiana |
| Authorized Official Name and Position | Ryan D Ward (OWNER) |
| Authorized Official Contact | 3183876222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan D. Ward,d.d.s.llc 3050 Forsythe Ave Monroe LA 71201-3012 Ph: (318) 387-6222 | Ryan D. Ward,d.d.s.llc 3050 Forsythe Ave Monroe LA 71201-3012 Ph: (318) 387-6222 |
| NPI Number | 1215261532 |
|---|---|
| Provider Enumeration Date | 09/21/2009 |
| Last Update Date | 09/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215261532 | NPI | - | NPPES |
| 1853798 | Medicaid | LA | |
| 1859753 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5379 (Louisiana) | Primary |
| 122300000X | Dentist | 5975 (Louisiana) | Secondary |
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