Organization
DWC-J, LLC
Active
Parent organization
WHTDMD, LLC
Other names
Dental Wellness Center of Jesup
Organization subpart
Yes
Provider details
NPI number
Legal business name
WHTDMD, LLC
Authorized official
DR. WILLIAM HOWARD TROUT JR. DMD (MANAGING PARTNER)
(912) 665-2792
Entity
Organization
Contact information
Practice address
135 PEACHTREE ST, JESUP, GA 31545-0211
(912) 665-2792
(888) 289-4301
Mailing address
135 PEACHTREE ST, JESUP, GA 31545-0211
(912) 665-2792
(888) 289-4301
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
GA 10747
GA
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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