Individual
DR. PHILIP M WORTHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
631 PORTSMOUTH AVE, DAVIS, CA 95616-2737
(804) 248-1036
Mailing address
631 PORTSMOUTH AVE, DAVIS, CA 95616-2737
(804) 248-1036
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10809
NC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
10809
NC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DDS112333
CA
Other
Enumeration date
09/23/2013
Last updated
10/30/2025
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