Ruth A Whitworth, DDS

Individual provider Active NPI Dentist · Midfield, AL

NPI 1225121908 · NPPES record last updated Mar 8, 2019

Key facts

NPI
1225121908
Entity type
Individual (NPI type 1)
Primary specialty
Dentist 122300000X
License
0005664-C (AL)
Practice address
111 B Y Williams Sr Dr
Midfield, AL 35228-2218
Phone
(205) 923-3172
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0005664-CALMDDentist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0005664-C AL Yes

Addresses

Primary practice location

111 B Y Williams Sr Dr
Midfield, AL 35228-2218

Mailing address

1815 Hardwood View Dr
Birmingham, AL 35242-7064
Phone (205) 923-3172

Other providers in Midfield, AL

All providers in Midfield, AL · Dentist in Alabama

Sources for this page

Verify at the official NPI Registry.