Stephen G. Ward, D.D.S. Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

034572 Issued in CA

Legal business name

STEPHEN G. WARD, D.D.S. DENTAL CORPORATION

Practice address

3500 Fifth Ave Ste 201
San Diego, CA 92103-5020

Phone

(619) 298-2893

NPI assigned

Mar 22, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephen G Ward, D.D.S.

Title

President

Phone

(619) 298-2893

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1306145966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 FIFTH AVE STE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035020",
            "telephone_number": "619-298-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 FIFTH AVE STE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035020",
            "telephone_number": "619-298-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN G. WARD, D.D.S. DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-22",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-298-2893",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "034572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stephen M. Daquino, DO; Inc (Revivify Restorative Medicine)
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• Amy L. Stephen, MSW, LCSW
• Janetta Sue Stephen, LMFT
• Michael Ledell Stephen Jr., RADT

• Dental Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.