SearchIdahoPediatric Dentistry

Jared Worthington, DDS

NPI 1861067993 · on the registry since 2021 · sole proprietor

Practice

Address
621 Jensen Grove Dr
Blackfoot, ID 83221
Phone
(435) 668-9919
Organisation at this address
Smiles 4 Kids Blackfoot Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Pediatric Dentistry
1223P0221X
Also registered as
Dentist
Pediatric Dentistry
Licence states on file
ID, KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho