| Whtdmd,llc | |
|
10140 Ford Ave Suite G2 Richmond Hill GA 31324-3992 | |
| (912) 665-2792 | |
| (888) 289-4301 |
| Full Name | Whtdmd,llc |
|---|---|
| Speciality | Dentist |
| Location | 10140 Ford Ave, Richmond Hill, Georgia |
| Authorized Official Name and Position | William Howard Trout (MANAGING PARTNER) |
| Authorized Official Contact | 9126652792 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whtdmd,llc 10140 Ford Ave Suite G2 Richmond Hill GA 31324-3992 Ph: (912) 665-2792 | Whtdmd,llc 10140 Ford Ave Suite G2 Richmond Hill GA 31324-3992 Ph: (912) 665-2792 |
| NPI Number | 1669788808 |
|---|---|
| Provider Enumeration Date | 08/25/2010 |
| Last Update Date | 07/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669788808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10747 (Georgia) | Primary |
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