WALLY T. AUSTELLE III DMD
NPI 1124302773
Dentist in Charleston, SC

Q: What is Wally Austelle's NPI number?

The NPI number for Wally Austelle is 1124302773. It was assigned to this individual provider in the NPPES registry on September 30, 2011.

Q: What is Wally Austelle's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Wally Austelle was last updated on September 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 30, 2011PECOS Enrolled

839 WAPPOO RD, CHARLESTON, SC 29407(843) 556-4746(843) 556-5435 Get Directions Write a Review

NPPES record last updated: September 30, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Wally T. Austelle Iii Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALLY T. AUSTELLE III DMD (NPI 1124302773) is an individual dentist in Charleston, South Carolina, licensed in South Carolina (2473) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124302773

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameWALLY T. AUSTELLE IIICredential: DMD

Location Address839 WAPPOO RDCharleston, SC 29407

Mailing Address839 Wappoo RdCharleston, SC 29407 · (843) 556-4746

Phone(843) 556-4746

Fax(843) 556-5435

Sole ProprietorNo

Enumeration DateSeptember 30, 2011

✔ NPI 1124302773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in SC · 2473

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

839 WAPPOO RD, Charleston, SC 29407

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wally T. Austelle Iii Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29407 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENTAL CARE OF CHARLESTOWN PA

Dentist

839 WAPPOO RD
CHARLESTON, SC 29407

Charleston County (843) 556-4746

PENINSULA DENTISTRY WAPPOO LLC

Clinic/Center (Dental)

839 WAPPOO RD
CHARLESTON, SC 29407

Charleston County (843) 556-4746

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wally Austelle's NPI number?

The NPI number for Wally Austelle is 1124302773. It was assigned to this individual provider in the NPPES registry on September 30, 2011.

Where is Wally Austelle located?

Wally Austelle practices at 839 Wappoo Rd, Charleston, SC 29407. The listed phone number is (843) 556-4746.

What is Wally Austelle's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Wally Austelle enrolled in Medicare?

Yes. Wally Austelle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wally Austelle was last updated on September 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.