| Gordon W. Womack Dds Inc | |
|
3300 Kemp Rd Beavercreek OH 45431 | |
| (937) 426-2653 | |
| Not Available |
| Full Name | Gordon W. Womack Dds Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3300 Kemp Rd, Beavercreek, Ohio |
| Authorized Official Name and Position | Tamonia Leonard (CREDENTIALING SPECIAILST) |
| Authorized Official Contact | 6782444844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon W. Womack Dds Inc 3300 Kemp Rd Beavercreek OH 45431-4200 Ph: (937) 426-2653 | Gordon W. Womack Dds Inc 3300 Kemp Rd Beavercreek OH 45431 Ph: (937) 426-2653 |
| NPI Number | 1922585694 |
|---|---|
| Provider Enumeration Date | 07/25/2018 |
| Last Update Date | 07/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922585694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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Beavercreek Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 Kemp Road, Beavercreek, OH 45431 Phone: 937-426-2653 Fax: 937-426-1124 |