Womack Dental DMD Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WOMACK DENTAL DMD INC

Doing business as

Womack Family Dental

Practice address

645 New York Ranch Rd
Jackson, CA 95642-9328

Phone

(209) 223-0204

NPI assigned

Jan 16, 2025

Last updated

Jan 16, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Stenson Womack, DMDNPI 1679094007

Title

Ceo/President

Phone

(209) 418-8878

Specialties & licenses 1

Addresses

Other names 1

• Womack Family Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stenson Womack, DMD

  • General Practice Dentistry
  • Jackson, CA
  • NPI 1679094007
  NPD Authorized official
• Roland E Womack, DDS

  • Dentist
  • Jackson, CA
  • NPI 1710130141
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1063223279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 NEW YORK RANCH RD",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956429328",
            "telephone_number": "209-223-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 NEW YORK RANCH RD",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956429328",
            "telephone_number": "209-223-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMACK DENTAL DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "WOMACK",
        "authorized_official_first_name": "STENSON",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "209-418-8878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Womack Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Henry Martin Weyrauch III, MD
• Rachel Alayne Williams
• Alma Wilson
• Miriam Ashley Wilson, BSN, RN
• Alexis Lee Wiser
• Mason Ross Womack
• Roland E Womack, DDS
• Stenson Womack, DMD
• Michelle Ann Wong, PA-C
• Gary J Woodward, M.D.

• Dental Clinic/Center in Jackson, CA
• Providers in Jackson, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.