Organization Name: | MICHAEL A WORMAN DDS PA |
NPI Number: | 1023021359 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL A WORMAN (PRES) |
Mailing Address: | 5353 First Ave South Suite B St Petersburg |
State: | FL US |
Postal Code: | 337076516 |
Phone Number: | 7273216911 |
Fax Number: | 7273282120 |
NPI Enumeration Date: | 08/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | DN5007 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |