Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Drew Robert Borgholthaus, DMD

Individual provider General Practice Dentistry · NPI 1265222517

Drew Robert Borgholthaus, DMD is a Dentist in Waycross, Georgia. Graduated from Roseman Univ of Hlth Sciences, Col of Dental Med in 2025, 1 year ago. Works from 2 locations. Licensed in Georgia and Idaho.

Years since qualifying
1
Trained at
Roseman Univ of Hlth Sciences, Col of Dental Med
Licensed in
GA, ID
In the registry since
2025
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

218 Quarterman St
Waycross, GA 31501-3547
Phone: (912) 287-9140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 651 S Beverly St, Shoshone, ID 83352-5121 — (208) 886-2224

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN123747 (GA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 7281733 (ID)

Record details

NPI number1265222517
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 9, 2025
Last updated in NPPESOctober 25, 2026
Certification dateOctober 25, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolROSEMAN UNIV OF HLTH SCIENCES, COL OF DENTAL MED
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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