Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417942913 Individual Practitioner Male Practitioner

Dr. Roger Carl Worthington , DMD

Dentist - General Practice • Jackson, KY

Professional Overview & Biography Verified Profile Summary

Dr. Roger Worthington, DMD is a registered healthcare professional specializing in Dentist - General Practice in Jackson, KY. Practice services are available at 1484 LAKESIDE DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1484 Lakeside Drive
Dental Suite

Jackson, KY 41339

Telephone 6066669950
Fax 6066669136
Associated Practice Facility / Clinic
🏢 Juniper Health Inc Facility NPI 1467417691

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Jackson, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Jackson, KY (1699 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-05-02
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License KY 5515

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7100437870 (KY)
Commercial Insurance / Payer ID Ucci
1669988

Secondary Practice Locations

308 N Ky 7, Dental Suite

Sandy Hook, KY 41711

Phone: 6067389785

672 Main St

West Liberty, KY 414721018

Phone: 6067433030

60 Center St

Beattyville, KY 413119085

Phone: 6064649262

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Heather Banks , APRN

Nurse Practitioner - Family

NPI 1023789658

Advanced Practice Registered Nurse

Courtney Addison , APRN

Nurse Practitioner - Family

NPI 1104420835

Advanced Practice Registered Nurse

Beverly Ellis , APRN

Nurse Practitioner - Family

NPI 1124488903

Advanced Practice Registered Nurse

Rebecca Smith , LCSW

Social Worker - Clinical

NPI 1174836662

Licensed Clinical Social Worker

Kelsea Combs , PA-C

Physician Assistant

NPI 1265015317

Physician Assistant (Certified)

Ashley-Ann Turner , APRN-CNP

Nurse Practitioner - Pediatrics

NPI 1285584557

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location May 02, 2023

Registered at 1484 LAKESIDE DRIVE, DENTAL SUITE, JACKSON, KY 41339 (Tel: 6066669950)

📍
Updated Business Mailing Address May 02, 2023

Registered at PO BOX 690, BEATTYVILLE, KY 413110690 (Tel: 0664640151)

📍
Updated Practice Location August 17, 2021

Registered at 308 N KY 7, DENTAL SUITE, SANDY HOOK, KY 41711 (Tel: 6067389785)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2021

Dentist (License #5515 in KY)

📍
Updated Practice Location March 27, 2020

Registered at 3015 WILSON AVE, LOUISVILLE, KY 402111969 (Tel: 5027744401)

📍
Updated Business Mailing Address March 27, 2020

Registered at 3015 WILSON AVE, LOUISVILLE, KY 402111969 (Tel: 5027744401)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 526 N DALEVILLE AVE, DALEVILLE, AL 363222000 (Tel: 3345984994)

📍
Updated Business Mailing Address July 08, 2007

Registered at 526 N DALEVILLE AVE, DALEVILLE, AL 363222000 (Tel: 3345984994)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ROGER WORTHINGTON, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #5323 in AL)

🟢
Initial NPI Registration & Enumeration September 12, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417942913
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 12, 2005
Last Update: May 02, 2023
Sole Proprietor: No

Mailing Address

Po Box 690

Beattyville, KY 413110690

Phone: 0664640151

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.