Worrell, Dentonio Ellsworth
Worrell, Dentonio Ellsworth is an sole proprietor health care provider with primary practice located at 1 Jarrett White Rd , Tripler Army Medical Center HI 96859-5001. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Worrell, Dentonio Ellsworth can be contacted via phone (804) 892-9001.Contact Information
Primary practice address
1 Jarrett White Rd
Tripler Army Medical Center HI 96859-5001
Phone: (804) 892-9001
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 13352 | Maryland |
| Dental Providers / Endodontics | 1223E0200X | 055426 | New York |
| Dental Providers / Endodontics | 1223E0200X | 0401416245 | Virginia |
Profile Details
| NPI number | 1386701373 |
|---|---|
| LBN Legal business name | Worrell, Dentonio Ellsworth |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Jul 15th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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