Provider Demographics
NPI:1881850022
Name:MYERS, KURT WORTHINGTON (DDS)
Entity Type:Individual
Prefix:DR
First Name:KURT
Middle Name:WORTHINGTON
Last Name:MYERS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1100 NW LOOP 410
Mailing Address - Street 2:SUITE 515
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-2263
Mailing Address - Country:US
Mailing Address - Phone:210-341-8281
Mailing Address - Fax:210-341-8282
Practice Address - Street 1:1100 NW LOOP 410
Practice Address - Street 2:SUITE 515
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-2263
Practice Address - Country:US
Practice Address - Phone:210-341-8281
Practice Address - Fax:210-341-8282
Is Sole Proprietor?:No
Enumeration Date:2008-08-06
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX165901223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics