Provider Demographics
NPI:1790949550
Name:SANDERS WARD, MARGARET REBECCA (DMD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:REBECCA
Last Name:SANDERS WARD
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
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Mailing Address - Street 1:1470 TOBIAS GADSON BLVD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-4707
Mailing Address - Country:US
Mailing Address - Phone:843-571-5644
Mailing Address - Fax:843-571-5647
Practice Address - Street 1:996 TANNER FORD BLVD
Practice Address - Street 2:
Practice Address - City:HANAHAN
Practice Address - State:SC
Practice Address - Zip Code:29410-4780
Practice Address - Country:US
Practice Address - Phone:843-973-8236
Practice Address - Fax:843-725-1594
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC4498122300000X
SC8201223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC4498OtherSC DENTAL LICENSE