Roland E. Womack, DDS

Dentist · Jackson, CA

Individual Active NPI

NPI number 1710130141

Practice location

645 New York Ranch Rd
Jackson, CA 95642-9328
Phone
(209) 223-0204

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NPI record

NPI
1710130141
Entity type
Individual (Type 1)
Enumeration date
October 29, 2008
Last updated
February 12, 2025
Certified
February 12, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 036853 CA

About Dr. Womack

Roland E. Womack, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 645 New York Ranch Rd, Jackson, CA 95642-9328. The NPI number 1710130141 was assigned on October 29, 2008 and the record was last updated on February 12, 2025.

Dr. Womack lists a license in the registry: #036853 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Roland E. Womack, DDS?

The NPI number is 1710130141.

What is the phone number of Dr. Womack?

The phone number listed for the practice location is (209) 223-0204.

Where is Dr. Womack located?

645 New York Ranch Rd, Jackson, CA 95642-9328.

What is the taxonomy code for Dr. Womack?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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