Worthington Family Dentistry, P.C.

LBN: Worthington Family Dentistry, P.C.
Worthington Family Dentistry, P.C. is an health care organization with primary practice located at 2804 N Oak St Ste B , Valdosta GA 31602-5913. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Worthington Family Dentistry, P.C. can be contacted via phone (229) 242-0063, or through Spivey, Jana L via phone (229) 242-0063.

Contact Information

Primary practice address
2804 N Oak St Ste B Valdosta GA 31602-5913
Phone: (229) 242-0063
Fax: (229) 242-8860
Website:
Map and Directions
Authorized official contact:
Name: Spivey, Jana L Registered Dental Hygienist (RDH)
Phone: (229) 242-0063

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 012344 Georgia

Profile Details

NPI number 1336310317
LBN Legal business name Worthington Family Dentistry, P.C.
DBA Doing business as
Authorized official Spivey, Jana L Registered Dental Hygienist (RDH)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 18th, 2008
Last updated Mar 18th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336310317 NPPES
Georgia MEDICAID 00919949A

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