Organization Active NPI

DWC-RH, LLC

Doing business as Dental Wellness Center of Richmond Hill

  • Dentist
  • Richmond Hill, GA
National Provider Identifier
1093003634
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
GA 10747 Issued in GA
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, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
WHTDMD, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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)CodeLicenseStatePrimary
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 Doing business as

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.

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.

Verify at the official NPI Registry.