IndividualActive
Justin Ward, D.M.D.
NPI 1316388473 · Orthodontics and Dentofacial Orthopedics Dentistry · Burley, ID
Provider details
- NPI number
- 1316388473
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- D-4510-OR (ID)
Specialties & taxonomies
Dental Providers
Practice location
2271 Overland Ave
Suite 4
Burley, ID 83318-2960
Phone: (208) 678-3265
Approximate (ZIP-level) locationGet directions
Mailing address
2271 Overland Ave
Burley, ID 83318-2960
Registry dates
- Enumerated
- 2013-07-17
- Last updated
- 2013-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.