DR. DENTONIO ELLSWORTH WORRELL (NPI# 1386701373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386701373 |
| Entity Type | Individual |
| Full Name | DR. DENTONIO ELLSWORTH WORRELL |
| Credential | DDS |
| Practice Address |
Landstuhl Dentac Hq Cmr 402 Attn Credentials Office Apo AE 09180 |
| Practice Telephone | 01149637194644308 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2014-08-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
055426 | NY | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
13352 | MD | Dental Providers |
| Street Address |
LANDSTUHL DENTAC HQ CMR 402 ATTN CREDENTIALS OFFICE |
| City | APO |
| State | AE |
| Zip Code | 09180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174166656 | Samuel Mow | Military Health Care Provider | Landshul Regional Medical Center, Apo, AE 09180 | 2019-10-28 |
| 1265093017 | Corby M Dixon | Dentist | Landstul Dental Health Activity, Bldg 3703, Rm 205, Apo, AE 09180 | 2019-06-24 |
| 1619440922 | Joo Park | Dentist | Cmr 402 Unit 33301, Apo, AE 09180 | 2019-01-09 |
| 1518374743 | Nathan Persell | Dentist | Landstuhl Dental Activity Hq, Marceau Kaserne Bldg 3703, Rm 205, Landstuhl, KIRCHBERG 09180 | 2014-07-21 |
| 1558617985 | Schuyler Brent Sessions | Dentist | Bldg 3703 Rm 205, Apo, AE 09180 | 2012-08-03 |
| 1649555418 | Jacob Naylor | Physical Therapist | Cmr 402, Box 1700, Apo, AE 09180 | 2011-10-12 |
| 1174832505 | Amy Lunell Spotanski | Advanced Practice Midwife | 3763 Dr Hitzelberger Strase, Apo, AE 09180 | 2010-10-04 |
| 1629383112 | Benjamin P. Spang | Social Worker | Cmr 402, Box 1096, Apo, AE 09180 | 2010-08-09 |
| 1457681595 | Emily Ann Schulze Koeneke | Pharmacist | Cmr 402 Landstuhl Regional Medical Center, Apo, AE 09180 | 2010-01-13 |
| 1992030241 | Troy Kirk Lundell | Dentist | Usa Dentac Landstuhl, Cmr 402 Bldg 3703, Apo, AE 09180 | 2009-10-05 |
| Find all providers in zip 09180 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801146840 | David Joseph Weyh | Dentist | 18 Mdg, Kadena Ab, Apo, AP 96367-0050 | 2012-09-18 |
| 1750531414 | John Green II | Dentist | Us Army Dentac Bavaria, Unit 28038, Apo, AE 09112 | 2008-09-30 |
| 1669589222 | Gregory Sean Mcdougal | Dentist | Hq 618th Dental Company (as) Usa Dentac, Attn: Credentials, Unit 15652 Bldg S-5403, Apo, AP 96205-5652 | 2006-08-23 |
| 1750352357 | John Tilton Marley Iv | Dentist | 618th Dental Co As, Unit #15652, Apo, AP 96205-5652 | 2006-01-31 |
| 1285613695 | Michael Anthony Koch | Dentist | 52 Dental Squadron, Unit 3690, Apo, AE 09126 | 2006-01-13 |
| 1578548681 | Jae I Hwang | Dentist | 618th Dental Co (as), Unit 15652, Apo, AP 96205 | 2005-12-12 |
| 1386950780 | Giovanny Francisco Zalamar | Dentist | Us Army Dental Activity, Bavaria, Unit 28038, Apo, AE 09112 | 2010-08-23 |
| 1760635841 | Matthew David Schafer | Dentist | Usa Dentac, Cmr 402, Apo, AE 09180 | 2008-11-03 |
| 1932196193 | Cecilia Isabel Garin | Dentist | 435 Mdg, Unit 3215, Apo, AE 09094 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770554867 | Bradley Howard Hajdik | Dentist | Psc 819 Box 18-313, Fpo, AE 09645-0313 | 2006-01-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.