Provider Demographics
NPI:1366644726
Name:WARD, AMANDA NICOLE (DDS)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:NICOLE
Last Name:WARD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MRS
Other - First Name:AMANDA
Other - Middle Name:
Other - Last Name:HOGUE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1001 24TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069
Mailing Address - Country:US
Mailing Address - Phone:405-360-5233
Mailing Address - Fax:405-293-8672
Practice Address - Street 1:1001 24TH AVE NW
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069
Practice Address - Country:US
Practice Address - Phone:405-360-5233
Practice Address - Fax:405-293-8672
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK59741223G0001X
OK821223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No1223G0001XDental ProvidersDentistGeneral Practice