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DR. ROLAND E WOMACK DDS
NPI 1710130141
Dentist in Jackson, CA

Active since October 29, 2008
645 NEW YORK RANCH RD, JACKSON, CA 95642(209) 223-0204 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Roland E Womack Dds NPPES

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

DR. ROLAND E WOMACK DDS (NPI 1710130141) is an individual dentist in Jackson, California, licensed in California (036853) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1710130141
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. ROLAND E WOMACKCredential: DDS
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
Sole ProprietorNo
Enumeration DateOctober 29, 2008
Last NPPES UpdateFebruary 12, 2025
NPPES CertifiedFebruary 12, 2025
✔ NPI 1710130141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 036853
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.
645 NEW YORK RANCH RD, Jackson, CA 95642
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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.

WOMACK DENTAL DMD INC
Clinic/Center (Dental)
645 NEW YORK RANCH RD
JACKSON, CA 95642
Amador County (209) 223-0204
MR. STANLEY M ORDONEZ DDS
Dentist
645 NEW YORK RANCH RD
JACKSON, CA 95642
Amador County (209) 223-4434

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 Roland Womack's NPI number?

The NPI number for Roland Womack is 1710130141. It was assigned to this individual provider in the NPPES registry on October 29, 2008.

Where is Roland Womack located?

Roland Womack practices at 645 New York Ranch Rd, Jackson, CA 95642. The listed phone number is (209) 223-0204.

What is Roland Womack'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 Roland Womack was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.