Individual
JAMES MICHAEL WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
13901 PARKWAY COMMONS DR STE D, OKLAHOMA CITY, OK 73134-6225
(210) 535-7848
Mailing address
13901 PARKWAY COMMONS DR STE D, OKLAHOMA CITY, OK 73134-6225
(210) 535-7848
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
28885
TX
122300000X
Dentist
61064
KS
1223P0300X
Periodontics
Primary
00204675
CO
1223P0300X
Periodontics
28885
TX
1223P0300X
Periodontics
61064
KS
1223P0300X
Periodontics
90
OK
1223P0700X
Prosthodontics
00204675
CO
1223P0700X
Prosthodontics
28885
TX
1223P0700X
Prosthodontics
41
OK
1223P0700X
Prosthodontics
61064
KS
Other
Enumeration date
08/15/2013
Last updated
06/26/2023
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