Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wally T. Austelle III, DMD

Individual provider Dentist · NPI 1124302773

Wally T. Austelle III, DMD is a Dentist in Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2011.

Licensed in
SC
In the registry since
2011
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

839 Wappoo Rd
Charleston, SC 29407
Phone: (843) 556-4746
Fax: (843) 556-5435
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2473 (SC)

Record details

NPI number1124302773
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedSeptember 30, 2011
Last updated in NPPESSeptember 30, 2011

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