Individual provider Active NPI

William Palmer Westmoreland, DMD

  • General Practice Dentistry
  • Augusta, GA
National Provider Identifier
1639119290
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN012759 Issued in GA
Practice address
2105 Faircrest Ave
Augusta, GA 30906-8937
Phone
(706) 535-2300
Fax
(888) 395-0775
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN012759 GA Primary

Addresses

Primary practice location

2105 Faircrest Ave
Augusta, GA 30906-8937

Mailing address

2105 Faircrest Ave
Augusta, GA 30906-8937
Phone (706) 798-8300

Other identifiers 1

IdentifierTypeStateIssuer
ZX3941MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150713000882 GA Order and Referring Only - Other (Non-Physician) 5496067977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Westmoreland Family Dentistry General Practice CurrentSince Jun 6, 2012 Accepting new patients

Locations

2105 Faircrest Ave
Augusta, GA 30906
Phone (706) 535-2300

Organizations & group practices 1

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1639119290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 FAIRCREST AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309068937",
            "telephone_number": "706-798-8300",
            "fax_number": "888-395-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 FAIRCREST AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309068937",
            "telephone_number": "706-535-2300",
            "fax_number": "888-395-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTMORELAND",
        "first_name": "WILLIAM",
        "middle_name": "PALMER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX3941",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.