Beavercreek Pediatric Dentistry – Dentist, NPI 1245382068

Beavercreek Pediatric Dentistry is a healthcare provider. based in Beavercreek, Ohio. specializing in Dentist. The organization holds a License No. 17287 (OH). The NPI Number for Beavercreek Pediatric Dentistry is 1245382068

Main info

Organization
Name
Beavercreek Pediatric Dentistry
NPI
1245382068
Phone
(937) 426-2653
Address
3300 KEMP ROAD
Authorized Official
DR. GORDON W WOMMACK OWNER DDS
Enumeration Date
18 January 2007
Last Update Date
22 July 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

Loading map...

Provider Addresses for Beavercreek Pediatric Dentistry

  • 3300, Kemp Road, Wagner Trace, Beavercreek, Greene County, Ohio, 45431, United States

    BEAVERCREEK, OH 45431

    Phone: (937) 426-2653

    Fax: (937) 426-1124

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45431)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for Beavercreek Pediatric Dentistry?
Save NPI 1245382068 if you need a stable reference for Beavercreek Pediatric Dentistry.
Is Beavercreek Pediatric Dentistry's NPI currently valid?
The extract we use shows Beavercreek Pediatric Dentistry as active.
What field does Beavercreek Pediatric Dentistry work in?
You can think of Beavercreek Pediatric Dentistry as practicing within Dentist. Clinical services aligned with this taxonomy classification.
Where is Beavercreek Pediatric Dentistry's primary listing?
We display Beavercreek, Ohio because that is what the record indicates for Beavercreek Pediatric Dentistry.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

Similar Providers

3014 PARKSTONE CT
NPI: 1679517122
Woodsview Drive, Beavercreek, Greene County, Ohio, 45435, United States
NPI: 1093810525

DR. GORDON W WOMACK (DDS)

Pediatric Dentistry
3072 BRINISEY CIR
NPI: 1972600989
3989 COLONEL GLENN HWY STE A
NPI: 1528133386
4881 Sugar Maple Dr
NPI: 1902958069
3540 DAYTON XENIA ROAD
NPI: 1255465985
3300 KEMP RD
NPI: 1750407003
1210 MEADOW BRIDGE DR
NPI: 1932220670