DWC-H, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DWC-H, LLC

Doing business as

Dental Wellness Center of Hinesville

Practice address

715 Courtland Dr
Hinesville, GA 31313-4464

Phone

(912) 348-8848

Fax

(912) 226-3489

NPI assigned

Feb 27, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Amanda Ray

Title

Financial Coordinator

Phone

(912) 920-5577

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dental Wellness Center of Hinesville Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1013474923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 436",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313100436",
            "telephone_number": "912-348-8848",
            "fax_number": "912-226-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 COURTLAND DR",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313134464",
            "telephone_number": "912-348-8848",
            "fax_number": "912-226-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWC-H, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "912-920-5577",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "DN010747",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1497918759",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Wellness Center of Hinesville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Hinesville, GA
• Providers in Hinesville, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.