NPI 1699897017 · live from the CMS NPI Registry
Derwood Lee Ashworth, D.D.S., M.Sc.O.
Dentist, Orthodontics and Dentofacial Orthopedics in North Wilkesboro, NC. National Provider Identifier 1699897017, active.
NPI record
| NPI | 1699897017 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 110a Wilkesboro Ave, North Wilkesboro, NC 28659 |
| Practice phone | 336-667-4752 |
| Mailing address | Po Box 1065, North Wilkesboro, NC 28659 |
| Enumerated | April 5, 2007 |
| Last updated | November 13, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 2880 (NC) |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 56-0945513 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.