Provider Demographics
NPI:1720072838
Name:WORONKO, GEORGE ALBIN JR (DDS)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:ALBIN
Last Name:WORONKO
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4109 TERSHER DR
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-5613
Mailing Address - Country:US
Mailing Address - Phone:215-489-1974
Mailing Address - Fax:
Practice Address - Street 1:201 HWY 34 S
Practice Address - Street 2:
Practice Address - City:COLTS NECK
Practice Address - State:NJ
Practice Address - Zip Code:07722-1902
Practice Address - Country:US
Practice Address - Phone:732-866-2255
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA159801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice