1. Home
  2. Directory
  3. South Carolina
  4. Hanahan
  5. Dentist
  6. NPI Profile

DR. GORDON W WOMACK DDS
NPI 1972600989
Dentist - Pediatric Dentistry in Hanahan, SC

Active since September 20, 2006
996 TANNER FORD BLVD, HANAHAN, SC 29410(843) 212-8810 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 19, 2024, May 11, 2024 (2 updates tracked since 2024).

About Dr. Gordon W Womack Dds NPPES

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

DR. GORDON W WOMACK DDS (NPI 1972600989) is an individual pediatric dentistry provider in Hanahan, South Carolina, licensed in South Carolina (DGD.2025DS) and active in the NPI registry since September 2006. He maintains a secondary practice location in Beavercreek.

NPPES Registry Identity

NPI1972600989
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. GORDON W WOMACKCredential: DDS
Location Address996 TANNER FORD BLVDHanahan, SC 29410-4780
Mailing Address102 View StMoncks Corner, SC 29461-9783 · (843) 214-8040
Phone(843) 212-8810
Sole ProprietorYes
Enumeration DateSeptember 20, 2006
Last NPPES UpdateNovember 19, 20242 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
✔ NPI 1972600989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in SC · DGD.2025DS✔ Licensed in OH · 17287
Definition
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.
Also ListedDentistTaxonomy 122300000X · License DGD.9455GD (SC), 17287 (OH)
996 TANNER FORD BLVD, Hanahan, SC 29410
Open in Google Maps ↗

Secondary Practice Location 1

Location 13300 Kemp RdBeavercreek, OH 45431-4200 · Phone (937) 426-2653 · Fax (937) 426-1124

Other Identifiers 2

Medicaid0617587OH
Other311367412OH · Fed Tax Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 10

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

DENTISTRY FOR CHILDREN OF SOUTH CAROLINA PC
Dentist
996 TANNER FORD BLVD
HANAHAN, SC 29410
Berkeley County (843) 818-5437
DR. BENJAMIN LAPKE COENEN DDS
Dentist (Oral and Maxillofacial Surgery)
996 TANNER FORD BLVD
HANAHAN, SC 29410
Berkeley County (843) 973-8236
DR. JESSICA WALLACE MIRRIELEES DMD
Dentist
996 TANNER FORD BLVD
HANAHAN, SC 29410
Berkeley County (843) 212-8810
DR. JUSTINE QUINN GULLIA DDS
Dentist (Pediatric Dentistry)
996 TANNER FORD BLVD
HANAHAN, SC 29410
Berkeley County (843) 212-8810
BAILEY DUFFY DMD
Dentist (Pediatric Dentistry)
996 TANNER FORD BLVD
HANAHAN, SC 29410
Berkeley County (843) 818-5437
DR. SARAH AYFER OZTURK TORKIAN DMD
Dentist (Pediatric Dentistry)
996 TANNER FORD BLVD
HANAHAN, SC 29410
Berkeley County (843) 483-5050
DR. SHMUEL DABUSH DDS
Dentist (Pediatric Dentistry)
996 TANNER FORD BLVD
HANAHAN, SC 29410
Berkeley County (843) 212-8810
DR. JULIETTE CATHERINE MANN DMD
Dentist (Pediatric Dentistry)
996 TANNER FORD BLVD
HANAHAN, SC 29410
Berkeley County (360) 317-8252

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 Womack's NPI number?

The NPI number for Gordon Womack is 1972600989. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Gordon Womack located?

Gordon Womack practices at 996 Tanner Ford Blvd, Hanahan, SC 29410. The listed phone number is (843) 212-8810.

What is Gordon Womack's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Gordon Womack accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 16 other insurers list Gordon Womack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gordon Womack was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.