William Randol Womack in Peoria - Orthodontics And Dentofacial Orthopedics
William Randol Womack - NPI 1972564326
William Randol Womack is a Orthodontics And Dentofacial Orthopedics in Peoria, Arizona. William Randol Womack practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for William Randol Womack is 1972564326. The last update date is 2007-08-16.
William Randol Womack's current location address is 7505 W Deer Valley Rd, Peoria, Arizona. You can contact this provider via phone number 6235728855. The mailing address for William Randol Womack is 7505 W Deer Valley Rd, Peoria, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Randol Womack |
|---|---|
| Address | 7505 W Deer Valley Rd, Peoria, Arizona |
| Phone Number | 6235728855 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1972564326 |
|---|---|
| Provider Enumeration Date | 2006-03-28 |
| Last Updated Date | 2007-08-16 |
Provider Mailing Address Detail
| Address | 7505 W Deer Valley Rd |
|---|---|
| City | Peoria |
| State | Arizona (AZ) |
| Post Code | 853822107 |
| Phone Number | 6235728855 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 1827 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2029687771 | AZ | TAX ID |
Post Comment/ Review Below
What is the unique identifier code issued to William Randol Womack by the Centers for Medicare & Medicaid Services (CMS)?
The William Randol Womack has been assigned the NPI (National Provider Identifier) 1972564326. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the William Randol Womack located?
The William Randol Womack is located at 7505 W Deer Valley Rd, Peoria, AZ 853822107.
Could you please provide the complete physical location address of William Randol Womack?
The William Randol Womack is physically situated at 7505 W Deer Valley Rd, in the city of Peoria, state of AZ, with the postal code 853822107.
What is the William Randol Womack's specialty and taxonomy code?
The William Randol Womack's specialty is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code is 1223X0400X.
When was the William Randol Womack's information last updated?
The William Randol Womack's information was last updated on 2007-08-16.