Individual
DR. ROGER CARL WORTHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1484 LAKESIDE DRIVE, DENTAL SUITE, JACKSON, KY 41339
(606) 666-9950
(606) 666-9136
Mailing address
PO BOX 690, BEATTYVILLE, KY 41311-0690
(066) 464-0151
(606) 464-0152
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5515
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669988
UCCI
—
05
—
7100437870
—
KY
Enumeration date
09/12/2005
Last updated
05/02/2023
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