Brian a. Womble, DMD, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

9213 Issued in GA

Legal business name

BRIAN A. WOMBLE, DMD, PC

Practice address

420 McDonough Pkwy
McDonough, GA 30253-8946

Phone

(770) 914-2808

Fax

(678) 432-9193

NPI assigned

Oct 26, 2006

Last updated

Aug 22, 2020By 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. Brian Allen Womble, D.M.D.

Title

President

Phone

(770) 914-2808

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Brian a Womble, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • McDonough, GA
  • NPI 1700234168
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255416269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 EAGLES LANDING WAY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534221",
            "telephone_number": "770-914-2808",
            "fax_number": "678-432-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 MCDONOUGH PKWY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538946",
            "telephone_number": "770-914-2808",
            "fax_number": "678-432-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN A. WOMBLE, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOMBLE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-914-2808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "9213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meryl L Braunstein, M.D.
• Robert Eugene Braylock, PHARM.D., RPH, MBA
• Matthew Brea
• Breathe Zero-G
• Goodman Frederick Brennan, PH.D.
• Bridges of Faith
• Netifinet Briggs
• Bright Smiles, LLC (Bright Smiles Orthodontics and Pediatric Dentistry)
• Bright Star Healthcare Group, LLC
• Brightstar Homes & Services Inc.

• Orthodontics and Dentofacial Orthopedics Dentistry in McDonough, GA
• Providers in McDonough, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.