Active NPI
William E. Wege, DMD LLC
- Clinic/Center
- Hinesville, GA
National Provider Identifier
1730353012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 8306
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.