Organization
FRANKLIN TODD WORTHAM DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANKLIN T WORTHAM (MANAGER)
(907) 280-9585
Entity
Organization
Contact information
Practice address
10767 KENAI SPUR HWY STE A, KENAI, AK 99611-7836
(907) 252-1673
Mailing address
10767 KENAI SPUR HWY STE A, KENAI, AK 99611-7836
(907) 252-1673
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AK1024
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003846
—
AK
Enumeration date
03/24/2010
Last updated
10/17/2016
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