MEDICARE: WILLIAM ROBERT WARD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	62141	KS

General Provider Information

NPI Number	:	1508609942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM ROBERT WARD

Provider Business Mailing Address
First Line	:	1861 W CEDAR ST
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66061-3866
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2180 W DARTMOUTH ST
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66061-6690
Country	:	US
Telephone Number	:	913-732-9408
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2024
Last Update Date	:	06/14/2024

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Directions to “ WILLIAM ROBERT WARD ” Practice Location

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