Sara B Womack
Dental Hygienist
412 N Kentucky Ave
Madisonville
, Kentucky 42431-1711
Sara B Womack
Dental Hygienist
412 N Kentucky Ave
Madisonville
, Kentucky 42431-1711
(270) 825-0138
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Sara B Womack
- 412 N Kentucky Ave P O Box 1266
- Madisonville, KY
- Zip : 42431-1711
- Fax : (270) 825-0138
- Phone : (270) 821-5242
Second Address
- Sara B Womack
- 412 N Kentucky Ave
- Madisonville, KY
- Zip : 42431-1711
- Fax : (270) 825-0138
- Phone : (270) 821-5242
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 3344 | KY |
National Provider Identifier
| NPI | 1053572040 |
|---|---|
| Provider Name | Sara B Womack |
| First Address | Madisonville, KY 42431-1711 |
| Second Address | Madisonville, KY 42431-1711 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2008 |
| Last Update Date | 23/06/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3344 | DENTAL HYGIENE LICENSE (01) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.