Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619941242 Individual Practitioner Male Practitioner

Dr. Bob H Womack , DDS

Dentist • Clayton, OK

Professional Overview & Biography Verified Profile Summary

Dr. Bob Womack, DDS is a registered healthcare professional specializing in Dentist in Clayton, OK. Practice services are available at 109 STANLY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

109 Stanly Rd

Clayton, OK 74536

Telephone 9185694143
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Clayton, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Clayton, OK (1115 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-11-12
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OK 1516

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1305466 (OK)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Mitsi Faubion , DO

Family Medicine

NPI 1063408656

Doctor of Osteopathic Medicine (D.O.)

Ernest Perkins , PA-C

Physician Assistant - Medical

NPI 1417043696

Physician Assistant (Certified)

NPI 1467443309

Doctor of Medicine (M.D.)

NPI 1609350057

Doctor of Chiropractic

Gerald Harper , APRN-CNP

Nurse Practitioner

NPI 1730490715

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Paula Brown , NP

Nurse Practitioner - Family

NPI 1992306708

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address November 12, 2025

Registered at PO BOX 219, CLAYTON, OK 745360219 (Tel: 9189179999)

NPI Profile Active August 15, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location August 15, 2007

Registered at 109 STANLY RD, CLAYTON, OK 74536 (Tel: 9185694143)

📍
Updated Business Mailing Address August 15, 2007

Registered at 18563 305TH AVE, KEOTA, OK 749416513 (Tel: 9189663827)

👤
Provider Name / Credentials Updated August 15, 2007

Recorded as BOB WOMACK, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2007

Dentist (License #1516 in OK)

🟢
Initial NPI Registration & Enumeration February 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619941242
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2006
Last Update: November 12, 2025
Sole Proprietor: No

Mailing Address

Po Box 219

Clayton, OK 745360219

Phone: 9189179999

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.