Gordon W Womack Dds Inc in Beavercreek - Dentist

Gordon W Womack Dds Inc - NPI 1245382068

Gordon W Womack Dds Inc is a Dentist in Beavercreek, Ohio. Gordon W Womack Dds Inc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gordon W Womack Dds Inc is 1245382068. The last update date is 2008-07-22.

Gordon W Womack Dds Inc's current location address is 3300 Kemp Road, Beavercreek, Ohio. You can contact this provider via phone number 9374262653 and fax number 9374261124. The mailing address for Gordon W Womack Dds Inc is 3300 Kemp Road, Beavercreek, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Organization Gordon W Womack Dds Inc
Address 3300 Kemp Road, Beavercreek, Ohio
Phone Number 9374262653
Fax Number 9374261124
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Wommack W Gordon
Credentials DDS
Telephone Number 9374262653

NPI Number Detail

NPI Number 1245382068
Provider Enumeration Date 2007-01-18
Last Updated Date 2008-07-22

Provider Mailing Address Detail

Address 3300 Kemp Road
City Beavercreek
State Ohio (OH)
Post Code 45431
Phone Number 9374262653
Fax Number 9374261124

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 17287
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
617587 OH --

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FAQs about Gordon W Womack Dds Inc

What is the unique identification code assigned to Gordon W Womack Dds Inc by the Centers for Medicare & Medicaid Services?

The Gordon W Womack Dds Inc has been issued the NPI (National Provider Identifier) 1245382068. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Gordon W Womack Dds Inc's facilities are situated?

The facilities of Gordon W Womack Dds Inc are physically located at the following address: 3300 Kemp Road, Beavercreek, OH, 45431.

What is Gordon W Womack Dds Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Gordon W Womack Dds Inc is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.

When was the Gordon W Womack Dds Inc's 1245382068 issued?

The Gordon W Womack Dds Inc's 1245382068 was issued on 2007-01-18.

When was the information pertaining to Gordon W Womack Dds Inc most recently updated or revised?

The details related to Gordon W Womack Dds Inc, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-22.

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