DR. CHARLES WYLIE (NPI# 1275544280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275544280 |
| Entity Type | Individual |
| Full Name | DR. CHARLES WYLIE |
| Credential | DDS |
| Practice Address |
1589 Wheeling Ave Glen Dale WV 26038-1731 |
| Practice Telephone | 3048452480 |
| Practice Fax Number | 3048459204 |
| Mailing Telephone | 3048452480 |
| Mailing Fax Number | 3048459204 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | WV2926 | WV | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0133399000 | 05 |
| Street Address |
1589 WHEELING AVE |
| City | GLEN DALE |
| State | WV |
| Zip Code | 26038-1731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962922351 | Tapan Tirumala Teja Vallabhaneni | Dentist | 1589 Wheeling Ave, Glen Dale, WV 26038-1731 | 2017-06-26 |
| 1427342526 | Patricia Estep-wylie | Optometrist | 1589 Wheeling Ave, Glen Dale, WV 26038-1731 | 2011-06-06 |
| 1346457207 | Patricia Estep Wylie | Optometrist | 1589 Wheeling Ave, Glen Dale, WV 26038-1731 | 2007-05-17 |
| 1356557706 | Charles L. Wylie Dds Group | Dentist | 1589 Wheeling Ave, Glen Dale, WV 26038-1731 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396224432 | Kaitlin Renee Goddard | Occupational Therapist | 605 Woodridge Drive, Glen Dale, WA 26038 | 2018-08-09 |
| 1992012728 | Ignacio H Luna Md Inc | Urology | 426 Eighth St., Suite 300, Glen Dale, WV 26038 | 2010-08-31 |
| 1073609178 | Ignacio Hoelzl Luna | Urology | 426 Eight Street, Suite 300, Glendale, WV 26038 | 2006-10-05 |
| 1205882172 | Michail Dolgovskij | Family Medicine | 2100 Little Grave Creek, Glen Dale, WV 26038 | 2006-05-25 |
| 1801892013 | Glen Dale Vol. Fire Dept, Inc. | Ambulance | 402 Wheeling Ave., Glen Dale, WV 26038 | 2005-06-22 |
| 1942859897 | Ocucare Ophthalmic Services, Pllc | Optometrist | 316 4th St, Glen Dale, WV 26038 | 2019-09-04 |
| 1568816072 | Janet Lynn Hicks | Nurse Practitioner | 426 8th St Ste 305, Glen Dale, WV 26038 | 2016-04-20 |
| 1093888067 | Shawn Posin | Emergency Medicine | 800 Wheeling Ave, Glen Dale, WV 26038 | 2006-11-16 |
| 1609884634 | Frank George Diettinger | Radiology | 800 Wheeling Ave, Glendale, WV 26038 | 2006-08-04 |
| 1689074429 | Jayda Renae Varner | Specialist/Technologist | 3191 Glen Dale Heights Rd, Glen Dale, WV 26038-1177 | 2014-08-29 |
| Find all providers in zip 26038 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356557706 | Charles L. Wylie Dds Group | Dentist | 1589 Wheeling Ave, Glen Dale, WV 26038-1731 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639788078 | Miranda Jordan Kimble | Dentist | 422 Kinetic Dr Ste A, Huntington, WV 25701-5268 | 2020-07-30 |
| 1790303931 | Brennan Bish | Dentist | 451 Kinetic Dr, Huntington, WV 25701-5270 | 2020-07-13 |
| 1225672843 | Adam M. Grubler Dds, Pllc | Dentist | 1160 Johnson Ave Ste 104, Bridgeport, WV 26330-1487 | 2019-11-06 |
| 1073154845 | Sound Sleep Treatments of The Virginias LLC | Dentist | 33 Eagles Rd, Beckley, WV 25801-3643 | 2019-10-03 |
| 1275183998 | Kenan Hatem Hossino | Dentist | 415 Morris St Ste 101, Charleston, WV 25301-1840 | 2019-09-14 |
| 1366094831 | Pooja Chugh | Dentist | 409 Arabela Ct, Morgantown, WV 26508-4266 | 2019-07-15 |
| 1407418072 | Doheum Choi | Dentist | 942 Chestnut Ridge Rd Apt H, Morgantown, WV 26505-3085 | 2019-07-03 |
| 1629635164 | Breana Marie Dieringer | Dentist | 3126 George Washington Hwy, Thornton, WV 26440-7231 | 2019-05-21 |
| 1982190435 | Brian K Farley | Dentist | 1628 W 3rd Ave, Williamson, WV 25661-3007 | 2018-07-09 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. CHARLES WYLIE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.