Wally Austelle, DMD
NPI 1124302773 · Dentist · Charleston, SC
Enrolled with Medicare as Order and Referring Only - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wally Austelle, DMD is a Dentist provider in Charleston, SC (NPI 1124302773).
Provider details
- NPI number
- 1124302773
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 2473 (SC)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-09-30
- Last updated
- 2011-09-30
Frequently asked questions
- What is Wally Austelle's NPI number?
- Wally Austelle's National Provider Identifier (NPI) is 1124302773, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wally Austelle's specialty?
- Wally Austelle is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Wally Austelle located?
- Wally Austelle's practice location on file with NPPES is 839 Wappoo Rd, Charleston, SC 29407.
- What is Wally Austelle's phone number?
- The practice phone number listed in the NPPES registry for Wally Austelle is (843) 556-4746.
- Does Wally Austelle accept Medicare?
- Wally Austelle is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Wally Austelle's NPI active?
- Yes — Wally Austelle's NPI (1124302773) is active in the NPPES registry as of the last update on 2011-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.