NPI 1003894866

Dental Care of Charlestown PA

Organisation Dentist Charleston, SC

Practice location

Address: 839 Wappoo Rd, Charleston, SC 29407-5866
Phone: (843) 556-4746
Fax: (843) 556-5435

Authorised official

Name: Wally Thompson Austella
Title: Owner Dentist
Phone: (843) 556-4746

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 2473 (SC)

Other Dentist providers in South Carolina →

Registry record

NPI: 1003894866
Entity type: Organization
NPI issued: 3 Jan 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.