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WOMACK DENTAL DMD INC
NPI 1063223279
Clinic/Center - Dental in Jackson, CA

Active since January 16, 2025
645 NEW YORK RANCH RD, JACKSON, CA 95642(209) 223-0204 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Womack Dental Dmd Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WOMACK DENTAL DMD INC (NPI 1063223279), doing business as Womack Family Dental, is a healthcare organization registered as a dental in Jackson, California and active in the NPI registry since January 2025. The organization lists Stenson Womack, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1063223279
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameWOMACK DENTAL DMD INC
Location Address645 NEW YORK RANCH RDJackson, CA 95642-9328
Mailing Address645 New York Ranch RdJackson, CA 95642-9328 · (209) 223-0204
Phone(209) 223-0204
Organization SubpartNo
Authorized OfficialStenson WomackCeo/president · (209) 418-8878
Enumeration DateJanuary 16, 2025
NPPES CertifiedJanuary 16, 2025
✔ NPI 1063223279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
645 NEW YORK RANCH RD, Jackson, CA 95642
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Other Names 1

Doing Business AsWomack Family Dental

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. STANLEY M ORDONEZ DDS
Dentist
645 NEW YORK RANCH RD
JACKSON, CA 95642
Amador County (209) 223-4434
DR. ROLAND E WOMACK DDS
Dentist
645 NEW YORK RANCH RD
JACKSON, CA 95642
Amador County (209) 223-0204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Womack Dental Dmd Inc's NPI number?

The NPI number for Womack Dental Dmd Inc is 1063223279. It was assigned to this organization in the NPPES registry on January 16, 2025. The provider is doing business as Womack Family Dental.

Where is Womack Dental Dmd Inc located?

Womack Dental Dmd Inc is located at 645 New York Ranch Rd, Jackson, CA 95642. The listed phone number is (209) 223-0204.

What is Womack Dental Dmd Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Womack Dental Dmd Inc was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.