Organization
WORTHAM DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN WORTHAM D.M.D (DENTIST)
(205) 871-2591
Entity
Organization
Contact information
Practice address
1856 LANCASTER RD, HOMEWOOD, AL 35209-4114
(205) 871-2591
Mailing address
1856 LANCASTER RD, HOMEWOOD, AL 35209-4114
(205) 871-2591
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6035
AL
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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