Individual provider · Type 1 NPI
Jared Worthington, DDS
Pediatric Dentistry · Blackfoot, ID
NPI number
1861067993
Active
Practice location
621 Jensen Grove Dr
Blackfoot, ID 83221-1685
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 9671742 (ID) |
| Pediatric Dentistry | 1223P0221X | 10905 (KY) |
| Pediatric Dentistry Primary | 1223P0221X | 9671742 (ID) |
Pediatric Dentistry: 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.
2 other providers at this address
About NPI 1861067993
Jared Worthington, DDS's National Provider Identifier is 1861067993, issued on May 21, 2021. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Blackfoot, ID. The record was last updated on May 27, 2026.