The agencies that enforce the Federal Do Not Call List are the Federal Trade Commission (FTC) and the Federal Communications Commission (FCC). Each has a definition for telemarketing.
If you or your organization's activities fall under either of the definitions of telemarketing, you are required to comply with the Federal Do Not Call list. If your organization's activities do not fall under either of these definitions you may still be subject to various state laws concerning telemarketing.
Example: It has been more then two years since a consumer who is on the federal DNC list has visited their dentist. If the dentist contacts the consumer to ask them to set an appointment for a cleaning a violation of the Federal Do Not Call provisions has occurred and is subject to a $16,000 Federal fine.