Dana Leeann Wortman
Dental Assistant
4150 Macland Rd Ste 205
Powder Springs
, Georgia 30127-8212
Dana Leeann Wortman
Dental Assistant
4150 Macland Rd Ste 205
Powder Springs
, Georgia 30127-8212
(770) 882-6594
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Dana Leeann Wortman
- 2749 Elkhart Cir Sw
- Marietta, GA
- Zip : 30064-4319
- Phone : (770) 882-6594
Second Address
- Dana Leeann Wortman
- 4150 Macland Rd Ste 205
- Powder Springs, GA
- Zip : 30127-8212
- Fax : (770) 222-1345
- Phone : (770) 222-1344
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant |
National Provider Identifier
| NPI | 1346558038 |
|---|---|
| Provider Name | Dana Leeann Wortman |
| First Address | Marietta, GA 30064-4319 |
| Second Address | Powder Springs, GA 30127-8212 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/09/2010 |
| Last Update Date | 16/09/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.