IndividualActive
Kenneth Whitworth, D.D.S., M.D.
NPI 1124146022 · Oral and Maxillofacial Pathology Dentistry · Temecula, CA
Provider details
- NPI number
- 1124146022
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Credential
- D.D.S., M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- D42784 (CA)
Specialties & taxonomies
Dental Providers
Practice location
41619 Margarita Rd Ste 102
Temecula, CA 92591-2986
Phone: (951) 676-4473
Approximate (ZIP-level) locationGet directions
Mailing address
45485 Eagle Crest Ln
Temecula, CA 92592-1843
Registry dates
- Enumerated
- 2007-03-27
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.