NPIMap

Organization Active NPI

Whtdmd,LLC

  • Dentist
  • Richmond Hill, GA
National Provider Identifier
1669788808
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10747 Issued in GA
Legal business name
WHTDMD,LLC
Practice address
10140 Ford Ave
Suite G2
Richmond Hill, GA 31324-3992
Phone
(912) 665-2792
Fax
(888) 289-4301
NPI assigned
Aug 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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

Authorized official

Name
Dr. William Howard Trout Jr., DMD
Title
Managing Partner
Phone
(912) 665-2792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 10747 GA Primary

Addresses

Primary practice location

10140 Ford Ave
Suite G2
Richmond Hill, GA 31324-3992

Mailing address

10140 Ford Ave
Suite G2
Richmond Hill, GA 31324-3992
Phone (912) 665-2792

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310601600000",
    "number": "1669788808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10140 FORD AVE",
            "address_2": "SUITE G2",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243992",
            "telephone_number": "912-665-2792",
            "fax_number": "888-289-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10140 FORD AVE",
            "address_2": "SUITE G2",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243992",
            "telephone_number": "912-665-2792",
            "fax_number": "888-289-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHTDMD,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-25",
        "last_updated": "2011-07-14",
        "status": "A",
        "authorized_official_last_name": "TROUT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "912-665-2792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "10747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; 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.