Jeremy Robert Ward, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN011729 Issued in GA

Practice address

2463 Hamilton Mill Pkwy
Suite 240
Dacula, GA 30019-4648

Phone

(770) 945-4445

Fax

(770) 271-2736

NPI assigned

Feb 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hamilton Mill Dental Center, LLC

  • Dental Clinic/Center
  • Dacula, GA
  • NPI 1275298648
  NPD Authorized official

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336283571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2463 HAMILTON MILL PKWY",
            "address_2": "SUITE 240",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300194648",
            "telephone_number": "770-945-4445",
            "fax_number": "770-271-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2463 HAMILTON MILL PKWY",
            "address_2": "SUITE 240",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300194648",
            "telephone_number": "770-945-4445",
            "fax_number": "770-271-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "JEREMY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN011729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Jocilli Walton
• Alyssa Walz
• Daren C Wannamaker, DO
• Mary Carly Warbington, OTR/L
• Andrea Rose Watson, PTA
• Natanyah Watson, M.B.A. HM, B.S. MLS
• Lori Darnelle Weeks, NP
• Travis Weinsheim
• Samantha Weiss, MS, CCC-SLP

• General Practice Dentistry in Dacula, GA
• Providers in Dacula, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.