Dayton Pediatric Dentistry
LBN: Womack Dayton Pediatric Dentistry Inc
Dayton Pediatric Dentistry is an health care organization with primary practice located at 1 Childrens Plz Suite 2070, Dayton OH 45404-1898. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty.
Womack Dayton Pediatric Dentistry Inc can be contacted via phone (937) 641-5098, or through Womack, Gordon W via phone (937) 641-5098.
Contact Information
Primary practice address
1 Childrens Plz Suite 2070
Dayton OH 45404-1898
Phone: (937) 641-5098
Fax: (937) 641-5448
Website:
Authorized official contact:
Name: Womack, Gordon W Doctor of Dental Surgery (DDS)
Phone: (937) 641-5098
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 17287 | Ohio |
Profile Details
NPI number | 1710032305 |
---|---|
LBN Legal business name | Womack Dayton Pediatric Dentistry Inc |
DBA Doing business as | Dayton Pediatric Dentistry |
Authorized official | Womack, Gordon W Doctor of Dental Surgery (DDS) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 24th, 2007 |
Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1710032305 | NPPES |
Ohio | MEDICAID | 0617587 |
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