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G. MICHAEL WOMMACK DMD PC NPI 1760775043


NPI Information

NPI: 1760775043
Provider Name: G. MICHAEL WOMMACK, DMD, PC

Doing Business As: WOMMACK DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2900 GLYNN AVE
BRUNSWICK, GA
ZIP 31520
Phone: (912) 342-7049
Get Directions

G. MICHAEL WOMMACK, DMD, PC is a general practice dentist in Brunswick, GA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. G. MICHAEL WOMMACK, DMD, PC NPI is 1760775043. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wommack Dentistry.

The provider's business location address is:

2900 GLYNN AVE
BRUNSWICK, GA
ZIP 31520-844
Phone: (912) 342-7049
Fax: (912) 342-7942

The provider's authorized official is George Michael Wommack .
The authorized official title is Owner and has the following contact phone number (912) 342-7049.

The enumeration date for this NPI number is 5/19/2011 and was last updated on 5/19/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeDN012803GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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