Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JARED WORTHINGTON, DDS
Active Sole ProprietorJARED WORTHINGTON, DDS is a Pediatric Dentistry healthcare provider located in BLACKFOOT, Idaho. NPI 1861067993 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · BLACKFOOT, ID
Registration Details
- NPI Number
- 1861067993
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 21, 2021 (5.2631368968259 yrs)
- Last Updated
- Jun 28, 2025
- Licenses
-
9671742 (ID)9671742 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
621 JENSEN GROVE DRBLACKFOOT, ID, 832211685Browse ID providers · Browse ZIP 83221
- Phone
- 4356689919
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.