Basic Information
| Provider Information | |||||||||
| NPI: | 1225121908 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WHITWORTH | ||||||||
| FirstName: | RUTH | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DDS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1815 HARDWOOD VIEW DR | ||||||||
| Address2: | |||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352427064 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2059233172 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 111 B Y WILLIAMS SR DR | ||||||||
| Address2: | |||||||||
| City: | MIDFIELD | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352282218 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2059233172 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/02/2006 | ||||||||
| LastUpdateDate: | 03/08/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 122300000X | 0005664-C | AL | Y | Dental Providers | Dentist |
No ID Information.