DWC-P LLC

Organization Active NPI General Practice Dentistry · Savannah, GA

NPI 1265933840 · NPPES record last updated Feb 28, 2018

Key facts

NPI
1265933840
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
D10747 (GA)
Legal business name
DWC-P LLC
Practice address
5209 Paulsen Street
Savannah, GA 31405
Phone
(912) 355-1512
Fax
(912) 355-1218
NPI assigned
Feb 28, 2018
Organization subpart
Yes
Parent organization (as reported)
WHTDMDLLC DBA DENTALWELLNESSCENTERS

Authorized official

Name
Dr. William Howard Trout Jr., DMD
Title
Owner/Manager Member
Phone
(912) 445-5337

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Part of
Whtdmdllc

Locations

5209 Paulsen St
Savannah, GA 31405
Phone (912) 355-1512

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X D10747 GA Yes

Addresses

Primary practice location

5209 Paulsen Street
Savannah, GA 31405

Mailing address

10104 Ford Avenue
Suite G
Richmond Hill, GA 31324
Phone (912) 445-5337

Other names

  • Dental Wellness Center on Paulsen Doing business as

Other providers in Savannah, GA

All providers in Savannah, GA · General Practice Dentistry in Georgia

Sources for this page

Verify at the official NPI Registry.