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Individual

DR. JESSICA LYNN WORTHINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
370 MEDICAL DRIVE, SUITE E, CARMEL, IN 46032-2916
(317) 575-0200
(317) 575-0202
Mailing address
370 MEDICAL DR, SUITE E, CARMEL, IN 46032-2916
(317) 575-0200
(317) 575-0202

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
019027436
IL
122300000X
Dentist
12011279A
IN
1223G0001X
General Practice Dentistry
Primary
12011279A
IN

Other

Enumeration date
07/10/2007
Last updated
07/27/2010
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