Organization
CARMEL FAMILY DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA LYNN WORTHINGTON DMD (PRESIDENT)
(317) 575-0200
Entity
Organization
Contact information
Practice address
370 MEDICAL DRIVE, SUITE E, CARMEL, IN 46032
(317) 575-0200
(317) 575-0202
Mailing address
370 MEDICAL DRIVE, SUITE E, CARMEL, IN 43032
(317) 575-0200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011279A
IN
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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