Worthington Family Dentistry, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

012344 Issued in GA

Legal business name

WORTHINGTON FAMILY DENTISTRY, P.C.

Practice address

2804 N Oak St Ste B
Valdosta, GA 31602-5913

Phone

(229) 242-0063

Fax

(229) 242-8860

NPI assigned

Mar 18, 2008

Last updated

Mar 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jana L Spivey, RDH

Title

Office Manager

Phone

(229) 242-0063

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1336310317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 N OAK ST STE B",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316025913",
            "telephone_number": "229-242-0063",
            "fax_number": "229-242-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 N OAK ST STE B",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316025913",
            "telephone_number": "229-242-0063",
            "fax_number": "229-242-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORTHINGTON FAMILY DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "SPIVEY",
        "authorized_official_first_name": "JANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "229-242-0063",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "012344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00919949A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bolan P Woodward, MD
• John Barclay Woodward III, DMD
• Robert Woodward, LMFT
• Shelly Woodward, OTR/L
• Ryane Mikenzie Worrell, MED CCC-SLP
• Travis Worthman, D.C.
• Bernard Joseph Wortman III, FNP-C
• Adrienne Woske, OT
• Holly H Wright, LPC
• Jacque Wright, BSPP

• General Practice Dentistry in Valdosta, GA
• Providers in Valdosta, 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 Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.