DR. TAMARA BLISS WORTHEN DDS NPI 1639269053

NPI Information

NPI: 1639269053
Provider Name: DR. TAMARA BLISS WORTHEN, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
1103 WALNUT DR
ARDMORE, OK
ZIP 73401
Phone: (580) 226-6290
Get Directions

DR. Tamara Bliss Worthen, DDS is a pediatric dentistry dentist in Ardmore, OK. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Tamara Bliss Worthen, DDS NPI is 1639269053. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1103 WALNUT DR
ARDMORE, OK
ZIP 73401-354
Phone: (580) 226-6290
Fax: (580) 223-4381

The enumeration date for this NPI number is 10/14/2006 and was last updated on 9/27/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		5248	OKLAHOMA	No
2	122300000X	Dentist		7780	COLORADO	No
3	1223P0221X	Dentist	Pediatric Dentistry	5248	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	100182220C	MEDICAID	OKLAHOMA
2	100091120A	MEDICAID	OKLAHOMA
3	100091120B	MEDICAID	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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