Gordon W Womack in Beavercreek - Pediatric Dentistry
Gordon W Womack - NPI 1972600989
Gordon W Womack is a Pediatric Dentistry in Beavercreek, Ohio. Gordon W Womack practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Gordon W Womack is 1972600989. The last update date is 2007-07-09.
Gordon W Womack's current location address is 3300 Kemp Rd, Beavercreek, Ohio. You can contact this provider via phone number 9374262653 and fax number 9374261124. The mailing address for Gordon W Womack is 3300 Kemp Rd, Beavercreek, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gordon W Womack |
|---|---|
| Address | 3300 Kemp Rd, Beavercreek, Ohio |
| Phone Number | 9374262653 |
| Fax Number | 9374261124 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1972600989 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 3300 Kemp Rd |
|---|---|
| City | Beavercreek |
| State | Ohio (OH) |
| Post Code | 454314200 |
| Phone Number | 9374262653 |
| Fax Number | 9374261124 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 17287 |
|
Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 311367412 | OH | FED TAX ID | |
| 617587 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Gordon W Womack by the Centers for Medicare & Medicaid Services (CMS)?
The Gordon W Womack has been assigned the NPI (National Provider Identifier) 1972600989. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Gordon W Womack located?
The Gordon W Womack is located at 3300 Kemp Rd, Beavercreek, OH 454314200.
What is Gordon W Womack's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gordon W Womack is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.
On what date did the Gordon W Womack receive its 1972600989 assignment from the Centers for Medicare & Medicaid Services?
The Gordon W Womack was assigned its 1972600989 by the Centers for Medicare & Medicaid Services on 2006-09-20.
When was the information related to Gordon W Womack most recently updated or refreshed?
The details pertaining to the Gordon W Womack, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.