Individual provider · Type 1 NPI

Gordon W. Womack, DDS

Pediatric Dentistry · Hanahan, SC

NPI number 1972600989 Active

Practice location

996 Tanner Ford Blvd
Hanahan, SC 29410-4780

Mailing address

102 View St
Moncks Corner, SC 29461-9783

Other practice locations

  • 3300 Kemp Rd, Beavercreek, OH 45431-4200 · (937) 426-2653

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDGD.9455GD (SC)
Dentist 122300000X17287 (OH)
Pediatric Dentistry 1223P0221X17287 (OH)
Pediatric Dentistry Primary 1223P0221XDGD.2025DS (SC)

Pediatric Dentistry: 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.

10 other providers at this address

Other pediatric dentistry providers in Hanahan

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About NPI 1972600989

Gordon W. Womack, DDS's National Provider Identifier is 1972600989, issued on Sep 20, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Hanahan, SC. The record was last updated on Nov 19, 2024.