OrganizationActive
Brian A. Womble, DMD, PC
NPI 1255416269 · Orthodontics and Dentofacial Orthopedics Dentistry · Mcdonough, GA
Provider details
- NPI number
- 1255416269
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Brian Womble, President(770) 914-2808
- License
- 9213 (GA)
Specialties & taxonomies
Dental Providers
Practice location
420 Mcdonough Pkwy
Mcdonough, GA 30253-8946
Phone: (770) 914-2808
Fax: (678) 432-9193
Approximate (ZIP-level) locationGet directions
Mailing address
235 Eagles Landing Way
Mcdonough, GA 30253-4221
Registry dates
- Enumerated
- 2006-10-26
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.