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BEAVERCREEK PEDIATRIC DENTISTRY
NPI 1245382068
Dentist in Beavercreek, OH

Active since January 18, 2007
3300 KEMP ROAD, BEAVERCREEK, OH 45431(937) 426-2653(937) 426-1124 Get Directions Write a Review

NPPES record last updated: July 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beavercreek Pediatric Dentistry NPPES

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

BEAVERCREEK PEDIATRIC DENTISTRY (NPI 1245382068) is a healthcare organization registered as a dentist in Beavercreek, Ohio and active in the NPI registry since January 2007. The organization lists Gordon W Wommack, Owner, as its authorized official.

NPPES Registry Identity

NPI1245382068
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameGORDON W WOMACK DDS INC
Location Address3300 KEMP ROADBeavercreek, OH 45431
Mailing Address3300 Kemp RoadBeavercreek, OH 45431 · (937) 426-2653 · Fax (937) 426-1124
Phone(937) 426-2653
Fax(937) 426-1124
Organization SubpartNo
Authorized OfficialGordon W WommackOwner · (937) 426-2653
Enumeration DateJanuary 18, 2007
Last NPPES UpdateJuly 22, 2008
✔ NPI 1245382068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OH · 17287
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3300 KEMP ROAD, Beavercreek, OH 45431
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Other Names 1

Doing Business AsBeavercreek Pediatric Dentistry

Other Identifiers 1

Medicaid0617587OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Gordon W Womack Dds Inc's NPI number?

The NPI number for Gordon W Womack Dds Inc is 1245382068. It was assigned to this organization in the NPPES registry on January 18, 2007. The provider is doing business as Beavercreek Pediatric Dentistry.

Where is Gordon W Womack Dds Inc located?

Gordon W Womack Dds Inc is located at 3300 Kemp Road, Beavercreek, OH 45431. The listed phone number is (937) 426-2653.

What is Gordon W Womack Dds Inc's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Gordon W Womack Dds Inc was last updated on July 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.