P Praxis·MD
● Active Type 2 · Organization Subpart

Dwc-J, Llc

Dentist·Jesup, GA· NPI 1538457387 · Enumerated 2011 · 14 years on NPI
Dwc-J, Llc is 1 of 2660 dentist organizations in Georgia.
NPI age
14 years
Enumerated 2011-07-14
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Trout
Managing Partner
Last NPPES update
2011-07-14
Source: monthly bulk 2026-05

How this organization compares

Across 2660 active dentist providers in Georgia.

NPI age
14 years
≈ at median (14 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2011 → 2026

2011-07Enumerated in NPPES
2011 2026

Where they practice

Primary practice location
135 Peachtree St
Jesup, GA 315450211
📞 9126652792fax 8882894301
Mailing address
135 Peachtree St
Jesup, GA 315450211
📞 9126652792fax 8882894301

Authorized official

William Howard Trout, DMD
Managing Partner
📞 9126652792

Specialties

  • Dentist Primary
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    GA license #GA 10747 taxonomy 122300000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Dental Wellness Center of Jesup
    Type code 3 recorded 2011-07-14

Practice context

Single-site organization. Only one practice location on file.

Subpart of Whtdmd, Llc.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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