Individual provider Active NPI

William Howard Trout Jr., DMD

  • Dentist
  • Savannah, GA
National Provider Identifier
1497918759
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17047 Issued in GA
Practice address
5209 Paulsen Street
Savannah, GA 31405-4804
Phone
(912) 355-1512
Fax
(912) 330-1018
NPI assigned
Jul 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10747 GA
Dentist 122300000X 17047 GA Primary

Addresses

Primary practice location

5209 Paulsen Street
Savannah, GA 31405-4804

Mailing address

PO Box 401
Savannah, GA 31402-0401
Phone (912) 355-1512

Other names 1

  • Dr. William Howard Trout Jr. Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10747GAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Baicbcckmfa LLC Dentist CurrentSince Oct 10, 2021 Accepting new patients
DWC-P LLC PastSince Oct 10, 2021 Accepting new patients

Locations

10104 Ford Ave
Ste G
Richmond Hill, GA 31324
Phone (912) 445-5337

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

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1497918759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 401",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314020401",
            "telephone_number": "912-355-1512",
            "fax_number": "912-330-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 PAULSEN STREET",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054804",
            "telephone_number": "912-355-1512",
            "fax_number": "912-330-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROUT",
        "first_name": "WILLIAM",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "10747",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "17047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "TROUT",
            "middle_name": "HOWARD",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "D.M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.