DR. MARY HALVERSON WETTACH (NPI# 1366593642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366593642 |
Entity Type | Individual |
Full Name | DR. MARY HALVERSON WETTACH |
Credential | D.D.S., M.S. |
Practice Address |
501 S White St Suite 28 Mt Pleasant IA 52641-2600 |
Practice Telephone | 3193856750 |
Mailing Telephone | 3193856750 |
Enumeration Date | 2007-01-15 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
6739 | IA | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 0187690 | 05 | |
IA | DELTA DENTAL | 187690 | 01 |
Street Address |
501 S WHITE ST SUITE 28 |
City | MT PLEASANT |
State | IA |
Zip Code | 52641-2600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295086783 | Laura Allison Miller Bjork | Physician Assistant | 501 S White St, Suite 1, Mt Pleasant, IA 52641-2603 | 2012-09-25 |
1184909657 | Katie Sue Gratz | Physician Assistant | 501 S White St, Suite 1, Mt Pleasant, IA 52641-2603 | 2011-10-17 |
1205040235 | Family Dental Health Services, Inc | Dentist | 501 S White St, Mt Pleasant, IA 52641-2600 | 2007-05-09 |
1659422921 | Steven Mark Wetttach | Dentist | 501 S White St, Suite 28, Mt Pleasant, IA 52641-2600 | 2007-01-15 |
1447329313 | Kent F Metcalf | Family Medicine | 501 S White St, Suite One, Mt Pleasant, IA 52641-2600 | 2006-11-07 |
1396824165 | Djonggi W Situmeang | Family Medicine | 501 S White St, Suite 1, Mt Pleasant, IA 52641-2600 | 2006-11-03 |
1346329190 | Linwood Miller | Family Medicine | 501 S White St, Suite One, Mt Pleasant, IA 52641-2600 | 2006-11-03 |
1396824140 | Steven Readinger | Family Medicine | 501 S White St, Suite One, Mt Pleasant, IA 52641-2600 | 2006-11-03 |
1225117088 | Kent D Rynders | Family Medicine | 501 S White St, Suite One, Mt Pleasant, IA 52641-2600 | 2006-11-03 |
1629157409 | James C Widmer | Family Medicine | 501 S White St, Suite One, Mt Pleasant, IA 52641-2600 | 2006-11-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467050674 | Sarah Schoner | Nurse Practitioner | 801 East Grand Avenue, Mount Pleasant, IA 52641 | 2020-10-12 |
1407465917 | Qv Urgent Care Ia Pllc | Family Medicine | 801 North Grand Avenue, Mt. Pleasant, IA 52641 | 2020-07-30 |
1285768804 | Richard Lee Buss | Dentist | 217 E Monroe, Mt Pleasant, IA 52641 | 2007-03-15 |
1992832356 | Insight Human Services | Custodial Care Facility | 915 South Iris Street, Suite 101, Mt Pleasant, IA 52641 | 2007-02-27 |
1770640708 | Henry County Soldiers' and Sailors' Memorial Hospital | Ambulance | 407 South White Street, Mount Pleasant, IA 52641 | 2007-01-02 |
1801234711 | Karla Maher | Dentist | 304 N. Jefferson St., Mount Pleasant, IA 52641 | 2013-06-13 |
1417239351 | Katherine Lynn Reuter | Nurse Practitioner | 407 S White St, Mount Pleasant, IA 52641 | 2011-09-16 |
1952428104 | Iris Dental PC | Dentist | 217 E Monroe, Mt Pleasant, IA 52641 | 2007-03-23 |
1083731244 | Michael Charles Fitzpatrick | Dentist | 217 E Monroe, Mt Pleasant, IA 52641 | 2007-03-23 |
1578930673 | David Stecker | Specialist/Technologist | 601 N Main St, Mount Pleasant, IA 52641-1348 | 2015-08-25 |
Find all providers in zip 52641 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
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. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619517463 | Dental Professional of South Carolina, P.C. | Dentist | 1135 Muhlenbergia Dr, Mt Pleasant, SC 29466-7586 | 2020-01-09 |
1184191975 | John Quincy Storie | Dentist | 997 Johnnie Dodds Blvd Apt 717, Mt Pleasant, SC 29464-6118 | 2018-10-30 |
1902394141 | Jonathan P. Krizner, Dds | Dentist | 3940 State Route 981, Mt Pleasant, PA 15666-3705 | 2018-04-24 |
1851822373 | Maria Barnes | Dentist | 5439 Durand Ave Ste 215, Mt Pleasant, WI 53406-5058 | 2017-03-26 |
1992180319 | Jeffrey J. Gardner,dmd,pa | Dentist | 1077 Johnnie Dodds Blvd, Mt Pleasant, SC 29464-3155 | 2015-07-27 |
1619253135 | Daphne R Pierce | Dentist | 1041 Johnnie Dodds Blvd Ste 4a, Mt Pleasant, SC 29464-6156 | 2011-10-28 |
1770874380 | Aaron John Moeggenborg | Dentist | 2020 E Preston St, Mt Pleasant, MI 48858-8990 | 2011-04-29 |
1851626675 | Pallavi Venkateshaian | Dentist | 4459 E Blue Grass Rd, Suite D, Mt Pleasant, MI 48858-9697 | 2009-10-13 |
1972751717 | Alifiya Barodawalla | Dentist | 4459 E Blue Grass Rd Apt D, Mt Pleasant, MI 48858-9697 | 2008-09-05 |
1487818480 | Donald Kevin Hogan | Dentist | 3405 Salterbeck Ct, Suite 100, Mt Pleasant, SC 29466-7223 | 2008-07-18 |
Find all providers in MT PLEASANT |
City | MT PLEASANT |
Zip Code | 52641 |
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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.