Dr. Gordon W Womack is a Hanahan, South Carolina based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Gordon W Womack is
DGD.2025DS for Pediatric Dentistry in South Carolina. His current practice location is
996 Tanner Ford Blvd, Hanahan. Patients can reach him at
843-212-8810.
Dr. Gordon W Womack is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Gordon W Womack speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Gordon W Womack |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 996 Tanner Ford Blvd, Hanahan,
South Carolina, 29410-4780 |
| Phone: | 843-212-8810 |
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 are as mentioned below.
| NPI Number: | 1972600989 |
| NPI Enumeration Date: | 20 Sep, 2006 |
| NPI Last Update On: | 19 Nov, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Gordon W Womack are as mentioned below.
| License Number | Specialization | State | Status | |
| DGD.2025DS | Pediatric Dentistry | South Carolina | Primary | |
| DGD.9455GD | Dentistry | South Carolina | Secondary | |
| 17287 | Dentistry | Ohio | Secondary | |
| 17287 | Pediatric Dentistry | Ohio | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Gordon W Womack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0617587 | Medicaid | Ohio | |
| 311367412 | Other | Ohio | FED TAX ID |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 102 View St,
Moncks Corner, South Carolina |
| Zip: | 29461-9783 |
| Phone Number: | 843-214-8040 |
Patients can reach Dr. Gordon W Womack at
996 Tanner Ford Blvd, Hanahan, South Carolina or can
call to book an appointment on 843-212-8810.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.