| Franklin Todd Wortham Dds, Llc | |
|
10767 Kenai Spur Hwy Ste A Kenai AK 99611-7836 | |
| (907) 252-1673 | |
| Not Available |
| Full Name | Franklin Todd Wortham Dds, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10767 Kenai Spur Hwy Ste A, Kenai, Alaska |
| Authorized Official Name and Position | Franklin T Wortham (MANAGER) |
| Authorized Official Contact | 9072809585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Franklin Todd Wortham Dds, Llc 10767 Kenai Spur Hwy Ste A Kenai AK 99611-7836 Ph: (907) 252-1673 | Franklin Todd Wortham Dds, Llc 10767 Kenai Spur Hwy Ste A Kenai AK 99611-7836 Ph: (907) 252-1673 |
| NPI Number | 1720302433 |
|---|---|
| Provider Enumeration Date | 03/24/2010 |
| Last Update Date | 10/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720302433 | NPI | - | NPPES |
| 1003846 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | AK1024 (Alaska) | Primary |
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