Organization Active NPI

William E. Wege, DMD LLC

  • Clinic/Center
  • Hinesville, GA
National Provider Identifier
1730353012
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
8306 Issued in GA
Legal business name
WILLIAM E. WEGE, DMD LLC
Practice address
110 Bagley Ave Ste B
Hinesville, GA 31313-3247
Phone
(912) 876-2155
Fax
(912) 876-4036
NPI assigned
Apr 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Authorized official

Name
Mr. Carol Wege
Title
Office Manager
Phone
(912) 876-2155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 8306 GA Primary

Addresses

Primary practice location

110 Bagley Ave Ste B
Hinesville, GA 31313-3247

Mailing address

124 West ML King Jr Dr
Hinesville, GA 31313-3247
Phone (912) 876-2155

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1730353012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 WEST ML KING JR DR",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313133247",
            "telephone_number": "912-876-2155",
            "fax_number": "912-876-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BAGLEY AVE STE B",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313133247",
            "telephone_number": "912-876-2155",
            "fax_number": "912-876-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM E. WEGE, DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "WEGE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "912-876-2155",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "8306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.