| Brian A. Womble, Dmd, Pc | |
|
420 Mcdonough Pkwy Mcdonough GA 30253-8946 | |
| (770) 914-2808 | |
| (678) 432-9193 |
| Full Name | Brian A. Womble, Dmd, Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 420 Mcdonough Pkwy, Mcdonough, Georgia |
| Authorized Official Name and Position | Brian Allen Womble (PRESIDENT) |
| Authorized Official Contact | 7709142808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian A. Womble, Dmd, Pc 235 Eagles Landing Way Mcdonough GA 30253-4221 Ph: (770) 914-2808 | Brian A. Womble, Dmd, Pc 420 Mcdonough Pkwy Mcdonough GA 30253-8946 Ph: (770) 914-2808 |
| NPI Number | 1255416269 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255416269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 9213 (Georgia) | Primary |
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