Individual
DR. STEVEN J WORLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1810 EE WALLACE BLVD N, #2 HUNTINGTON PLAZA, FERRIDAY, LA 71334-2253
(318) 757-3648
(318) 757-9370
Mailing address
267 PANOLA DR, FERRIDAY, LA 71334-4219
(318) 757-6391
(318) 757-9370
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5069
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1850691
—
LA
01
—
973373
TRICARE PROVIDER #
LA
Enumeration date
06/29/2005
Last updated
07/09/2007
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