DR. TAMARA BLISS WORTHEN DDS
NPI 1639269053
Dentist - Pediatric Dentistry in Ardmore, OK

Active since October 14, 2006
1103 WALNUT DR, ARDMORE, OK 73401(580) 226-6290(580) 223-4381 Get Directions Write a Review

NPPES record last updated: September 27, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tamara Bliss Worthen Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TAMARA BLISS WORTHEN DDS (NPI 1639269053) is an individual pediatric dentistry provider in Ardmore, Oklahoma, licensed in Oklahoma (5248) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1639269053
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. TAMARA BLISS WORTHENCredential: DDS
Location Address1103 WALNUT DRArdmore, OK 73401-2354
Mailing Address1103 Walnut Dr, Pediatric Dental Associates PcArdmore, OK 73401-2354 · (580) 226-6290 · Fax (580) 223-4381
Fax(580) 223-4381
Sole ProprietorNo
Enumeration DateOctober 14, 2006
Last NPPES UpdateSeptember 27, 2013
NPI 1639269053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in OK · 5248
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.
Also ListedDentistTaxonomy 122300000X · License 5248 (OK), 7780 (CO)
1103 WALNUT DR, Ardmore, OK 73401

Other Identifiers 3

Medicaid100182220COK
Medicaid100091120AOK
Medicaid100091120BOK

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
1103 WALNUT DR
ARDMORE, OK 73401
Anesthesiology
1103 WALNUT DR
ARDMORE, OK 73401
Dentist (Pediatric Dentistry)
1103 WALNUT DR, PEDIATRIC DENTAL ASSOCIATES PC
ARDMORE, OK 73401
Dentist (Pediatric Dentistry)
1103 WALNUT DR
ARDMORE, OK 73401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tamara Worthen's NPI number?

The NPI number for Tamara Worthen is 1639269053. It was assigned to this individual provider in the NPPES registry on October 14, 2006.

Where is Tamara Worthen located?

Tamara Worthen practices at 1103 Walnut Dr, Ardmore, OK 73401. The listed phone number is (580) 226-6290.

What is Tamara Worthen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Tamara Worthen was last updated on September 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.