Individual provider Active NPI

William A Dennis, MD

  • Legal Medicine
  • Charleston, SC
National Provider Identifier
1669473377
Registry record updated Aug 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
11474 Issued in SC
Practice address
2093 Henry Tecklenburg Dr
Ste 306 E
Charleston, SC 29414-5741
Phone
(843) 571-3862
Fax
(843) 571-5275
NPI assigned
Aug 3, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 11474 SC Primary

Addresses

Primary practice location

2093 Henry Tecklenburg Dr
Ste 306 E
Charleston, SC 29414-5741

Mailing address

2093 Henry Tecklenburg Dr
Suite 306 East
Charleston, SC 29414-5741
Phone (843) 571-3862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040408001138 SC Practitioner - Obstetrics/Gynecology 2769476290 Practice locations: Charleston, SC

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785628800000",
    "number": "1669473377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2093 HENRY TECKLENBURG DR",
            "address_2": "SUITE 306 EAST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145741",
            "telephone_number": "843-571-3862",
            "fax_number": "843-571-5275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2093 HENRY TECKLENBURG DR",
            "address_2": "STE 306 E",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145741",
            "telephone_number": "843-571-3862",
            "fax_number": "843-571-5275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2026-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "SC",
            "license": "11474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.