JARED WORTHINGTON DDS
Individual Provider (NPI-1)
Active
Dentist, Pediatric Dentistry
Provider Information
- NPI Number
1861067993- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DDS
- Status
- Active
Contact & Location
- Address
- 621 JENSEN GROVE DR, BLACKFOOT, ID, 832211685
- Phone
- (435) 668-9919
Specialties & Taxonomies
Dentist
License: ID #9671742
Dentist, Pediatric Dentistry
License: KY #10905
Dentist, Pediatric Dentistry
Primary License: ID #9671742
All Addresses
MAILING
621 JENSEN GROVE DR
BLACKFOOT, ID, 832211685