Derwood Lee Ashworth, D.D.S., M.SC.O.
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · North Wilkesboro, NC
NPI 1699897017 · NPPES record last updated Nov 13, 2007
Key facts
- NPI
- 1699897017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- Practice address
- 110A Wilkesboro Ave
North Wilkesboro, NC 28659-4218 - Phone
- (336) 667-4752
- Fax
- (336) 667-1693
- NPI assigned
- Apr 5, 2007
- Sex
- Male
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2880 | NC | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 56-0945513 | NC | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 2880 | NC | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | NC | Yes |
Addresses
Primary practice location
110A Wilkesboro Ave
North Wilkesboro, NC 28659-4218
Mailing address
PO Box 1065
North Wilkesboro, NC 28659-1065
Phone (336) 667-4752
Other providers in North Wilkesboro, NC
- Michael Joseph Anderson II
- Steven Eric Anderson
- Steven R. Anderson
- Chris Anthony
- Artizo Ministries
- Ats of North Carolina, LLC
- Wun CHI Augustin
- Autumn Oak Home Care LLC
- Savanna Lynn Badgett
- Sandra K. Baker
All providers in North Wilkesboro, NC · Orthodontics and Dentofacial Orthopedics Dentistry in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.