DR. Gordon W Womack, DDS
NPI #1972600989 in Hanahan, South Carolina
Provider Information
- NPI Number
- 1972600989
- Entity Type
- Individual
- Name
- DR. Gordon W Womack, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Nov 19, 2024
Practice Location
- Address
- 996 TANNER FORD BLVD
- City
- Hanahan
- State
- South Carolina
- ZIP Code
- 29410-4780
- Phone
- (843) 212-8810
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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