Individual
DR. JAMES R WORTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
1755 E HIGHWAY 50, SUITE B, CLERMONT, FL 34711-2779
(352) 394-0100
Mailing address
1316 BELLEAIRE CIR, ORLANDO, FL 32804-6706
(407) 317-8338
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN-14688
FL
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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