DR. CHARLES MILTON WALLER D.D.S.
NPI 1861528929
Dentist - General Practice in Camdenton, MO

Q: What is Charles Waller's NPI number?

The NPI number for Charles Waller is 1861528929. It was assigned to this individual provider in the NPPES registry on February 25, 2007.

Q: What is Charles Waller's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Charles Waller was last updated on December 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 February 25, 2007

272 BLUE HAVEN BEACH RD, CAMDENTON, MO 65020(573) 873-5111(573) 873-5111 Get Directions Write a Review

NPPES record last updated: December 31, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Charles Milton Waller D.d.s. NPPES

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

DR. CHARLES MILTON WALLER D.D.S. (NPI 1861528929) is an individual general practice provider in Camdenton, Missouri, licensed in Missouri (2002029904) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1861528929

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. CHARLES MILTON WALLERCredential: D.D.S.

Location Address272 BLUE HAVEN BEACH RDCamdenton, MO 65020-2123

Mailing Address272 Blue Haven Beach RdCamdenton, MO 65020-2123 · (573) 873-5111

Phone(573) 873-5111

Fax(573) 873-5111

Sole ProprietorNo

Enumeration DateFebruary 25, 2007

Last NPPES UpdateDecember 31, 2007

✔ NPI 1861528929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MO · 2002029904

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

272 BLUE HAVEN BEACH RD, Camdenton, MO 65020

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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 Charles Waller's NPI number?

The NPI number for Charles Waller is 1861528929. It was assigned to this individual provider in the NPPES registry on February 25, 2007.

Where is Charles Waller located?

Charles Waller practices at 272 Blue Haven Beach Rd, Camdenton, MO 65020. The listed phone number is (573) 873-5111.

What is Charles Waller's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Charles Waller was last updated on December 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.