Active NPI
DWC-RH, LLC
Doing business as Dental Wellness Center of Richmond Hill
- Dentist
- Richmond Hill, GA
National Provider Identifier
1093003634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- GA 10747
- Legal business name
- DWC-RH, LLC
- Doing business as
- Dental Wellness Center of Richmond Hill
- Practice address
- 10140 Ford Ave
Suite G2
Richmond Hill, GA 31324-3992 - Phone
- (912) 665-2792
- Fax
- (888) 289-4301
- NPI assigned
- Jul 18, 2011
- Last updated
- Jul 18, 2011
- Organization subpart
- Yes
- Parent organization
- WHTDMD, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss William Howard Trout Jr., DMD
- Title
- Managing Partner
- Phone
- (912) 665-2792
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | GA 10747 | GA | Primary |
Addresses
Primary practice location
10140 Ford Ave
Suite G2
Richmond Hill, GA 31324-3992
Mailing address
10140 Ford Ave
Suite G2
Richmond Hill, GA 31324-3992
Phone (912) 665-2792
Other names 1
- Dental Wellness Center of Richmond Hill
National Provider Directory
National Provider Directory- Part of
- Whtdmdllc
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Dentist
- Richmond Hill, GA
- NPI 1669788808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1310947200000",
"number": "1093003634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10140 FORD AVE",
"address_2": "SUITE G2",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313243992",
"telephone_number": "912-665-2792",
"fax_number": "888-289-4301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10140 FORD AVE",
"address_2": "SUITE G2",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313243992",
"telephone_number": "912-665-2792",
"fax_number": "888-289-4301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DWC-RH, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WHTDMD, LLC",
"enumeration_date": "2011-07-18",
"last_updated": "2011-07-18",
"status": "A",
"authorized_official_last_name": "TROUT",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "HOWARD",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "912-665-2792",
"authorized_official_name_prefix": "Miss",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "GA 10747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dental Wellness Center of Richmond Hill",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Richmond Hill, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.