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
Fax: (937) 641-5448
Website:
Authorized official contact:
Name: Womack, Gordon W Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710032305 NPPES
Ohio MEDICAID 0617587

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