Active NPI
William Howard Trout Jr., DMD
- Dentist
- Savannah, GA
National Provider Identifier
1497918759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 17047
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10747 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baicbcckmfa LLC | Dentist | Current | Accepting new patients |
| DWC-P LLC | Past | 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.
-
- Dentist
- Savannah, GA
- NPI 1205598315
-
- General Practice Dentistry
- Savannah, GA
- NPI 1265933840
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.