Individual
DR. JOHN CARL WARDSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2721 DURHAM CHAPEL HILL BLVD, DURHAM, NC 27707-2876
(919) 489-0233
(919) 419-7151
Mailing address
2721 DURHAM CHAPEL HILL BLVD, DURHAM, NC 27707-2876
(919) 489-0233
(919) 419-7151
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4024
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8998912
—
NC
01
—
98912
BCBS
NC
Enumeration date
07/13/2006
Last updated
07/08/2007
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