DWC-P LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10747 Issued in GA

Legal business name

DWC-P LLC

Doing business as

Dental Wellness Center on Paulsen

Practice address

5209 Paulsen Street
Savannah, GA 31405

Phone

(912) 355-1512

Fax

(912) 355-1218

NPI assigned

Feb 28, 2018

Last updated

Feb 28, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

WHTDMDLLC DBA DENTALWELLNESSCENTERSAs reported in NPPES

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

Authorized official

Name

Dr. William Howard Trout Jr., DMDNPI 1497918759

Title

Owner/Manager Member

Phone

(912) 445-5337

Specialties & licenses 1

Addresses

Other names 1

• Dental Wellness Center on Paulsen Doing business as

Part of

Whtdmdllc

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Howard Trout Jr., DMD

  • Dentist
  • Savannah, GA
  • NPI 1497918759
  NPD (past) Authorized official
• James H Vaughter, D.D.S.

  • General Practice Dentistry
  • Savannah, GA
  • NPI 1609965979
  NPD (past)
• Miles Yarbrough, D.M.D.

  • General Practice Dentistry
  • Augusta, GA
  • NPI 1417318940
  NPD (past)

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519776000000",
    "number": "1265933840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10104 FORD AVENUE",
            "address_2": "SUITE G",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "31324",
            "telephone_number": "912-445-5337",
            "fax_number": "888-289-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 PAULSEN STREET",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31405",
            "telephone_number": "912-355-1512",
            "fax_number": "912-355-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWC-P LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHTDMDLLC DBA DENTALWELLNESSCENTERS",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A",
        "authorized_official_last_name": "TROUT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "OWNER/MANAGER MEMBER",
        "authorized_official_telephone_number": "912-445-5337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "D10747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Wellness Center on Paulsen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benjamin Thomas Duval, D.D.S.
• Sara Paige Duvall, M.ED.
• Dva Renal Healthcare Inc (Abercorn Dialysis)
• Dva Renal Healthcare Inc (Williams Street Dialysis)
• Dva Renal Healthcare Inc (DeRenne Dialysis)
• DWC-Sav, LLC (Dental Wellness Center of Savannah)
• Angeline D. Dy, DPM
• Mark Newton Dye, D.M.D.
• Rachelle D Dye, PA
• Meredith Macmillan Dyer, P.A.

• General Practice Dentistry in Savannah, GA
• Providers in Savannah, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; 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.