Organization
T. PETER WORTHY, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
T. PETER WORTHY DDS (OWNER)
(770) 832-1311
Entity
Organization
Contact information
Practice address
103 PROFESSIONAL PL, CARROLLTON, GA 30117-3862
(770) 832-1311
(770) 836-0179
Mailing address
103 PROFESSIONAL PL, CARROLLTON, GA 30117-3862
(770) 832-1311
(770) 836-0179
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN008736
GA
Other
Enumeration date
01/24/2007
Last updated
08/22/2020
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