Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912919010 Individual Practitioner Male Practitioner

Dr. Charles Vernon Enwald , DDS

Dentist - General Practice • Madison, WI

Professional Overview & Biography Verified Profile Summary

Dr. Charles Enwald, DDS is a registered healthcare professional specializing in Dentist - General Practice in Madison, WI. Practice services are available at 3099 E WASHINGTON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3099 E Washington Ave

Madison, WI 537044338

Telephone 6082405120

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Madison, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
131 Specialists

Practicing in Madison, WI (2459 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WI 5001839

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
33352800 (WI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. Frederick Gilbert , DDS

Dentist - General Practice

NPI 1346211216

Doctor of Dental Surgery

Dr. Valerie Gonsalves , PhD

Psychologist - Clinical

NPI 1558918607

Doctor of Philosophy (Ph.D.)

Patricia Voermans , RN, MS, NP

Nurse Practitioner - Adult Health

NPI 1801934880

Registered Nurse, Master of Science, Nurse Practitioner

NPI 1871933010

Doctor of Dental Surgery

Dr. Robert Mcqueeney , MD

Psychiatry & Neurology - Psychiatry

NPI 1891820874

Doctor of Medicine (M.D.)

Pamela Amundson , FNP-C

Nurse Practitioner

NPI 1932734910

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 14, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 14, 2012

Registered at 3099 E WASHINGTON AVE, MADISON, WI 537044338 (Tel: 6082405120)

📍
Updated Business Mailing Address August 14, 2012

Registered at 3099 E WASHINGTON AVE, MADISON, WI 537044338 (Tel: 6082405120)

👤
Provider Name / Credentials Updated August 14, 2012

Recorded as CHARLES ENWALD, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2012

Dentist (License #5001839 in WI)

🟢
Initial NPI Registration & Enumeration August 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912919010
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2006
Last Update: August 14, 2012
Sole Proprietor: No

Mailing Address

3099 E Washington Ave

Madison, WI 537044338

Phone: 6082405120

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.