Whalio Doctors

NPI 1346558038

Dana Leeann Wortman, DA

Practitioner Dental Assistant Powder Springs, GA

Practice location

Address
4150 Macland Rd STE 205, Powder Springs, GA 30127-8212
Phone
(770) 222-1344
Fax
(770) 222-1345
Mailing address
2749 Elkhart Cir SW, Marietta, GA 30064-4319

Registered specialties

Dental Assistant Primary
Dental Providers Taxonomy 126800000X

Registry record

NPI
1346558038
Entity type
Individual
Sex (as registered)
Female
NPI issued
16 Sep 2010
Record last updated
16 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.