Charlotte Collins Wiedenman, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3844 Issued in SC

Practice address

129 Fauburg St SW
Aiken, SC 29801-3805

Phone

(803) 649-0430

NPI assigned

May 25, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Dr. Charlotte L. Collins Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Charlotte C. Wiedenman, DMD

  dba Downtown Dental

  • Dentist
  • Aiken, SC
  • NPI 1154941169
  NPD Authorized official
• Aiken Dental Associates

  • General Practice Dentistry
  • Aiken, SC
  • NPI 1578615969
  NPD (past)

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

{
    "created_epoch": "1243209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1699900399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 FAUBURG ST SW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013805",
            "telephone_number": "803-649-0430",
            "fax_number": "803-522-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 FAUBURG ST SW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013805",
            "telephone_number": "803-649-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEDENMAN",
        "first_name": "CHARLOTTE",
        "middle_name": "COLLINS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-25",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "3844",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "012182",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17697",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX3844",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLOTTE",
            "last_name": "COLLINS",
            "middle_name": "L.",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle Anne Whitaker, DNP, FNP-BC
• White Periodontics & Implant Dentistry
• McKenzie Clare White
• Thomas White
• Tyresia Jovon White, DMD
• Brandon Wilcher
• Leah B Wilkins
• Carol Williams
• Cassandra Rochelle Rose Williams
• Georgia Williams

• General Practice Dentistry in Aiken, SC
• Providers in Aiken, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.