T. Peter Worthy, DDS, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN008736 Issued in GA

Legal business name

T. PETER WORTHY, DDS, PC

Practice address

103 Professional PL
Carrollton, GA 30117-3862

Phone

(770) 832-1311

Fax

(770) 836-0179

NPI assigned

Jan 24, 2007

Last updated

Aug 22, 2020By 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

T. Peter Worthy, DDSNPI 1104972157

Title

Owner

Phone

(770) 832-1311

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• T. Peter Worthy, DDS

  • General Practice Dentistry
  • Carrollton, GA
  • NPI 1104972157
  NPD (past) Authorized official

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578618955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PROFESSIONAL PL",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173862",
            "telephone_number": "770-832-1311",
            "fax_number": "770-836-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PROFESSIONAL PL",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173862",
            "telephone_number": "770-832-1311",
            "fax_number": "770-836-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T. PETER WORTHY, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WORTHY",
        "authorized_official_first_name": "T.",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-832-1311",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN008736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunset Bloom Counseling
• Kevin Swatek, DC
• Jasie Swicord, NP-C
• Rebecca B. Switzer, L.P.C.
• Araj Syeda, DDS
• Jennifer Talley, LCSW
• Parris Janae Tanksley, MD
• Tanner Bridge Clinic Inc
• Tanner Imaging Center
• Tanner Medical Center, Inc (Tanner Medical Center Inpatient Rehabilitation Facility)

• Dental Clinic/Center in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.