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:
11 May, 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
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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.