Provider Demographics
NPI:1205909900
Name:WORLEY, JAMES D (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:D
Last Name:WORLEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-2283
Mailing Address - Country:US
Mailing Address - Phone:614-882-1816
Mailing Address - Fax:614-882-0136
Practice Address - Street 1:300 S STATE STATE
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-2283
Practice Address - Country:US
Practice Address - Phone:614-882-1816
Practice Address - Fax:614-882-0136
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH204981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice