Provider Demographics
NPI:1386527547
Name:WARD, MEGAN LEA (DDS)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:LEA
Last Name:WARD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 S CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:CHURCH HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37642-3723
Mailing Address - Country:US
Mailing Address - Phone:423-357-7111
Mailing Address - Fax:
Practice Address - Street 1:108 S CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CHURCH HILL
Practice Address - State:TN
Practice Address - Zip Code:37642-3723
Practice Address - Country:US
Practice Address - Phone:423-357-7111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN129271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice