Dental Care of Charlestown PA

Primary specialty

DentistTaxonomy code 122300000X

License

2473 Issued in SC

Legal business name

DENTAL CARE OF CHARLESTOWN PA

Practice address

839 Wappoo Rd
Charleston, SC 29407-5866

Phone

(843) 556-4746

Fax

(843) 556-5435

NPI assigned

Jan 3, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Wally Thompson Austella, DMD

Title

Owner Dentist

Phone

(843) 556-4746

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wally T. Austelle III, DMD

  • Dentist
  • Charleston, SC
  • NPI 1124302773
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003894866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 WAPPOO RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075866",
            "telephone_number": "843-556-4746",
            "fax_number": "843-556-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 WAPPOO RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075866",
            "telephone_number": "843-556-4746",
            "fax_number": "843-556-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CARE OF CHARLESTOWN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AUSTELLA",
        "authorized_official_first_name": "WALLY",
        "authorized_official_middle_name": "THOMPSON",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "843-556-4746",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "2473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Jameson Dennis, MD
• Patrick Harley Dennis Jr., M.D.
• Erin Denny
• Denovo Pain Management, LLC
• Nitasha Denson
• Dental Health Services (Robert J. Beall, DMD, PC - Family & Cosmetic Dentistry)
• Dental Holdings PC
• Dental Holdings PC (DentalSmart)
• Dental Professional of South Carolina, P.C. (Point Hope Dental Care)
• Dental Professional of South Carolina, P.C. (Folly Road Dental Care)

• Dentist in Charleston, SC
• Providers in Charleston, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.