Provider Demographics
NPI:1285735647
Name:WARD, DARIN J (DDS, MSD, FAGD)
Entity type:Individual
Prefix:
First Name:DARIN
Middle Name:J
Last Name:WARD
Suffix:
Gender:M
Credentials:DDS, MSD, FAGD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 RAZORBACK DR STE 10
Mailing Address - Street 2:
Mailing Address - City:HOUGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:49931-2824
Mailing Address - Country:US
Mailing Address - Phone:906-483-0200
Mailing Address - Fax:906-483-0200
Practice Address - Street 1:903 RAZORBACK DR STE 290
Practice Address - Street 2:
Practice Address - City:HOUGHTON
Practice Address - State:MI
Practice Address - Zip Code:49931-2825
Practice Address - Country:US
Practice Address - Phone:906-483-0200
Practice Address - Fax:906-483-0209
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7564122300000X
TX194161223X0400X
OR75641223X0400X
MI29010231781223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No122300000XDental ProvidersDentist