Tamara Bliss Worthen in Ardmore - Pediatric Dentistry
Tamara Bliss Worthen - NPI 1639269053
Tamara Bliss Worthen is a Pediatric Dentistry in Ardmore, Oklahoma. Tamara Bliss Worthen practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Tamara Bliss Worthen is 1639269053. The last update date is 2013-09-27.
Tamara Bliss Worthen's current location address is 1103 Walnut Dr, Ardmore, Oklahoma. You can contact this provider via phone number 5802266290 and fax number 5802234381. The mailing address for Tamara Bliss Worthen is 1103 Walnut Dr, Ardmore, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tamara Bliss Worthen |
|---|---|
| Address | 1103 Walnut Dr, Ardmore, Oklahoma |
| Phone Number | 5802266290 |
| Fax Number | 5802234381 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1639269053 |
|---|---|
| Provider Enumeration Date | 2006-10-14 |
| Last Updated Date | 2013-09-27 |
Provider Mailing Address Detail
| Address | 1103 Walnut Dr |
|---|---|
| City | Ardmore |
| State | Oklahoma (OK) |
| Post Code | 734012354 |
| Phone Number | 5802266290 |
| Fax Number | 5802234381 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 5248 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100182220C | OK | -- | |
| 100091120A | OK | -- | |
| 100091120B | OK | -- |
Post Comment/ Review Below
Could you please share the complete physical location address where Tamara Bliss Worthen's facilities are situated?
The facilities of Tamara Bliss Worthen are physically located at the following address: 1103 Walnut Dr, Ardmore, OK, 734012354.
What is Tamara Bliss Worthen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tamara Bliss Worthen's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
What is Tamara Bliss Worthen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tamara Bliss Worthen is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.
On what date did the Tamara Bliss Worthen receive the assignment of its 1639269053 from the Centers for Medicare & Medicaid Services?
The Tamara Bliss Worthen was issued its 1639269053 by the Centers for Medicare & Medicaid Services on 2006-10-14.
When was the information regarding Tamara Bliss Worthen most recently updated?
The details pertaining to the Tamara Bliss Worthen, including its address, specialty, and other relevant information, were last refreshed on 2013-09-27.