Provider / Organization | NPI | Date Certified |
---|---|---|
POLLY WARD | 1841817988 | 2020-07-04 |
Polly Ward is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1841817988. Registration indicates Polly Ward is a provider of services with a specialization in Dental Providers, Dental Hygienist (Dental Hygienist, ) (Dental Hygienist, Dental Providers)
Entity Type | Individual |
Provider Name | Polly Ward RDH |
Practice Office Address | 1022 MAIN ST STE P DUNEDIN, FL US |
Practice Office Telephone | 7277337848 |
Practice Office Fax | 7277332753 |
Mailing Address | 1022 MAIN ST STE P DUNEDIN, FL 346985225 US |
Business Telephone | 7272158057 |
Business Fax | 7277332753 |
Code | Practice | License No State |
---|---|---|
124Q00000X PRIMARY | Dental Providers Dental Hygienist Dental Hygienist Dental Hygienist Dental Providers | DH14961
FL |