Organization Active NPI

Charles E. Wyont, D.M.D., P.a.

  • General Practice Dentistry
  • Aiken, SC
National Provider Identifier
1891974432
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2059 Issued in SC
Legal business name
CHARLES E. WYONT, D.M.D., P.A.
Practice address
3320 Whiskey Rd
Aiken, SC 29803-9090
Phone
(803) 642-4564
NPI assigned
Oct 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Dr. Charles E Wyont, D.M.D.NPI 1083722391
Title
President
Phone
(803) 642-4564

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2059 SC Primary

Addresses

Primary practice location

3320 Whiskey Rd
Aiken, SC 29803-9090

Mailing address

3320 Whiskey Rd
Aiken, SC 29803-9090
Phone (803) 642-4564

Other identifiers 1

IdentifierTypeStateIssuer
ZA9460MedicaidSC

National Provider Directory

National Provider Directory

Locations

3320 Whiskey Rd
Aiken, SC 29803
Phone (803) 642-4564

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1891974432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 WHISKEY RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298039090",
            "telephone_number": "803-642-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 WHISKEY RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298039090",
            "telephone_number": "803-642-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES E. WYONT, D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "WYONT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-642-4564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9460",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.