Fred F Worrall, DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

011402 Issued in GA

Legal business name

FRED F WORRALL, DDS, PC

Practice address

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

Phone

(770) 792-2300

Fax

(770) 792-2436

NPI assigned

Apr 4, 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

Dr. Fred Francis Worrall II, DDSNPI 1164565172

Title

Owner

Phone

(770) 792-2300

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Fred Francis Worrall II, DDS

  • General Practice Dentistry
  • Marietta, GA
  • NPI 1164565172
  NPD (past) Authorized official

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861514507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 WHITLOCK AVE SW STE D29",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643083",
            "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 STE D29",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643083",
            "telephone_number": "770-792-2300",
            "fax_number": "770-792-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED F WORRALL, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WORRALL",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-792-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "011402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA BOARD OF DENTISTRY LIC",
            "identifier": "DN011402",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Franks
• Vanessa Frans
• Karla Frazier, LCSW
• Timika Lashaun Frazier, D.C.
• Mary Amelia Frease, PHARMD
• Bobby J Frederick, L.P.C.
• Gabriel David Frederick, LMFT, LPC
• Jane A. Frederick, RN, MS,PHD
• Danielle Freeberg, R.T.(R)(ARRT)
• Susan Scott Freed, PT

• 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 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.