DWC-P LLC (NPI# 1265933840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265933840 |
| Entity Type | Organization |
| Organization Name | DWC-P LLC |
| Other Organization Name | DENTAL WELLNESS CENTER ON PAULSEN |
| Practice Address |
5209 Paulsen Street Savannah GA 31405 |
| Mailing Address |
10104 Ford Avenue Suite G Richmond Hill GA 31324 |
| Practice Telephone | 9123551512 |
| Practice Fax Number | 9123551218 |
| Mailing Telephone | 9124455337 |
| Mailing Fax Number | 8882894301 |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-02-28 |
| Authorized Official Name | DR. WILLIAM HOWARD TROUT JR. (OWNER/MANAGER MEMBER) |
| Authorized Official Telephone | 9124455337 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | Y |
| Parent Organization Name | WHTDMDLLC DBA DENTALWELLNESSCENTERS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D10747 | GA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Dental Wellness Center on Paulsen | Doing Business As Name - Organization |
| Street Address |
5209 PAULSEN STREET |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
| 1154983880 | Nickes Medical Supply, LLC. | Durable Medical Equipment & Medical Supplies | 6020 Halsey St, Savannah, GA 31405 | 2019-07-02 |
| 1215593025 | Lee Ann Ryle | Nurse Practitioner | 5223 Paulsen St., Savannah, GA 31405 | 2019-05-16 |
| 1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
| 1679050454 | Phenomenal Nursing Service | Registered Nurse | 604 South St., 604 South St, Savannah, GA 31405 | 2018-07-24 |
| 1275029472 | Chelsea Amanda Keedy | Pharmacist | 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 | 2018-07-11 |
| 1386153005 | Aaron Shaw | Hearing Instrument Specialist | 5501 Abercorn St Ste E, Savannah, GA 31405 | 2017-09-26 |
| 1063946028 | Elizabeth Bentley Bruhn-danello | Dietitian, Registered | 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-17 |
| 1396278230 | Theresa Lynn George | Health Educator | 836 East 65 Th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-07 |
| 1790235844 | Accucare Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 1000 Business Center Dr Ste 30, Savannah, GA 31405 | 2016-10-12 |
| Find all providers in zip 31405 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1184117392 | Scott Carl Harman | Dentist | 22 Park of Commerce Way Ste 1, Savannah, GA 31405-7479 | 2018-06-12 |
| 1255783353 | Lindsay H English | Dentist | 310 Eisenhower Dr Bldg No8, Savannah, GA 31406 | 2016-07-13 |
| 1720442627 | Gamble Dentalsmart Eb5 Vii PC | Dentist | 110 Mall Blvd, Savannah, GA 31406-4728 | 2016-04-07 |
| 1407297799 | Nichole R Madison | Dentist | 107 Fahm St, Savannah, GA 31401-2391 | 2013-07-15 |
| 1548528045 | Morgan Wimbish Murray | Dentist | 721 E 66th St, Savannah, GA 31405-4505 | 2012-05-03 |
| 1265741201 | Laura Hawkins Hissam | Dentist | 5420 Paulsen Street, Savannah, GA 31405 | 2010-09-24 |
| 1801124862 | Leon Edward Felps | Dentist | 6602 Abercorn St., Suite 101, Savannah, GA 31405 | 2009-12-01 |
| 1508099490 | Hetal Patel | Dentist | 101 Little Neck Rd, Savannah, GA 31419-8828 | 2009-08-26 |
| 1124260096 | Todd Wilson Fruit | Dentist | 400 Johnny Mercer Blvd Ste A, Savannah, GA 31410-2166 | 2009-03-24 |
| Find all providers in SAVANNAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.