Womack Dental PC.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

WOMACK DENTAL PC.

Practice address

20720 Plymouth Rd
Detroit, MI 48228-1275

Phone

(313) 342-1997

Fax

(313) 416-1405

NPI assigned

Feb 22, 2013

Organization subpart

No

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

Authorized official

Name

Kativia Fields

Title

Manager

Phone

(248) 392-6005

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1073853453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20720 PLYMOUTH RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482281275",
            "telephone_number": "313-342-1997",
            "fax_number": "313-416-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20720 PLYMOUTH RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482281275",
            "telephone_number": "313-342-1997",
            "fax_number": "313-416-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMACK DENTAL PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-22",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "KATIVIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-392-6005"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ira S. Wollner, M.D.
• Dosayeyah Selma Wologbo
• Rebecca Woloszyn
• Patricia Ann Wolschon, MSW
• Jessica Marie Wolski
• Barbara Womack
• James Austin Womack, MD
• Jared Womack
• Kayla Womack
• Giovanna Womacke, MA COUNSELING

• Dentist in Detroit, MI
• Providers in Detroit, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.