Beavercreek Pediatric Dentistry is a Dental Clinic in Beavercreek, Ohio. It is located at 3300 Kemp Road, Beavercreek, OH and its contact number is 937-426-2653. The authorized person for Beavercreek Pediatric Dentistry is Dr. Gordon W Wommack
who is Owner of the clinic and their contact number is 937-426-2653. The primary license number for Beavercreek Pediatric Dentistry is 17287 (Dentist) in Ohio. Beavercreek Pediatric Dentistry Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Beavercreek Pediatric Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Beavercreek Pediatric Dentistry
Specialization:
Dentistry
Clinic Address:
3300 Kemp Road, Beavercreek, Ohio, 45431
Phone:
937-426-2653
Fax:
937-426-1124
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Gordon W Wommack
Position:
Owner
Contact Number:
937-426-2653
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Beavercreek Pediatric Dentistry clinic are as mentioned below.
NPI Number:
1245382068
NPI Enumeration Date:
18 Jan, 2007
NPI Last Update On:
22 Jul, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Beavercreek Pediatric Dentistry are as mentioned below.
Specialization
License Number
State
Status
Dentist
17287
Ohio
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0617587
Medicaid
Ohio
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Patients can reach Beavercreek Pediatric Dentistry at 3300 Kemp Road, Beavercreek, Ohio or can call to book an appointment on 937-426-2653. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.