# RYAN DAVID WOMACK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1720311442
- **Gender:** Man
- **Credential:** M.D., D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DE.60280647 | WA | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | MD.602817188 | WA | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | M6467 | TX | — |

## Other

- **Enumeration date:** 09/14/2009
- **Last updated:** 03/03/2025