Charles Wahl, DMD and Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CHARLES WAHL, DMD AND ASSOCIATES

Practice address

108 W Collings Ave
Collingswood, NJ 08108-3015

Phone

(856) 858-0294

Fax

(856) 858-4067

NPI assigned

Jan 25, 2019

Organization subpart

No

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

Authorized official

Name

Charles N Wahl, DMDNPI 1457491128

Title

Owner

Phone

(856) 858-0294

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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

• Charles N Wahl, DMD

  • Dentist
  • Collingswood, NJ
  • NPI 1457491128
  NPD (past) Authorized official
• Gregory Rugian Czachor, D.M.D.

  • Dentist
  • Sewell, NJ
  • NPI 1740620947
  NPD (past)
• Abhishek Desai

  • Dentist
  • Collingswood, NJ
  • NPI 1669964573
  NPD (past)
• Michael Vincent Diorio, D.M.D

  • Dentist
  • Collingswood, NJ
  • NPI 1730562281
  NPD (past)
• Jodi B Meadvin, DMD

  • General Practice Dentistry
  • Collingswood, NJ
  • NPI 1598816498
  NPD (past)
• Peter D Samson, DMD

  • Dentist
  • Collingswood, NJ
  • NPI 1336289032
  NPD (past)

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548374400000",
    "number": "1043774920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 W COLLINGS AVE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081083015",
            "telephone_number": "856-858-0294",
            "fax_number": "856-858-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W COLLINGS AVE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081083015",
            "telephone_number": "856-858-0294",
            "fax_number": "856-858-4067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES WAHL, DMD AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-01-25",
        "status": "A",
        "authorized_official_last_name": "WAHL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-858-0294",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Bunte
• Laura Cantagallo
• Kelly Carino, MS, OTR/L
• Devon Carlin, MS, NCC, LAC
• Molly A Cervini, SLP
• Jessica Ann Charlton, MA, LPC
• Abigail Charpentier
• Christine A Chew, OT
• Children'S Opportunity Center
• Ronald P. Ciccone, M.D.

• General Practice Dentistry in Collingswood, NJ
• Providers in Collingswood, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.