Fred Francis Worrall II, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

011402 Issued in GA

Practice address

707 Whitlock Ave SW
Suite D29
Marietta, GA 30064-3083

Phone

(770) 792-2300

Fax

(770) 792-2436

NPI assigned

Feb 15, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fred F Worrall, DDS, PC

  • General Practice Dentistry
  • Marietta, GA
  • NPI 1861514507
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164565172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 WHITLOCK AVE SW",
            "address_2": "SUITE D29",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643000",
            "telephone_number": "770-792-2300",
            "fax_number": "770-792-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 WHITLOCK AVE SW",
            "address_2": "SUITE D29",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643083",
            "telephone_number": "770-792-2300",
            "fax_number": "770-792-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORRALL",
        "first_name": "FRED",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "011402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Christine Worden
• Working Through Christ, Inc.
• Sara Worku
• Worldwide Medical Healthcare Inc
• Julia Moye Worly, MD
• Chason E. Worthy, PA-C
• Scott R Wottrich, MD
• Margaret D Wray
• Heather Elizabeth Wright-Griggs, APN
• Anquannet Alisia Wright, BA

• General Practice Dentistry in Marietta, GA
• Providers in Marietta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.