Matthew Benjamin Wettach, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS-09309 Issued in IA

Practice address

501 S White St Ste 28
Mount Pleasant, IA 52641-2600

Phone

(319) 385-6750

NPI assigned

Jun 24, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1043661614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2436 IOWA AVE",
            "city": "MOUNT PLEASANT",
            "state": "IA",
            "postal_code": "526418200",
            "telephone_number": "319-931-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S WHITE ST STE 28",
            "city": "MOUNT PLEASANT",
            "state": "IA",
            "postal_code": "526412600",
            "telephone_number": "319-385-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETTACH",
        "first_name": "MATTHEW",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-09309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie C Wagner, D.O.
• Wal-Mart Stores, Inc.
• Cynthia Marie Walljasper McWilliams, PHD
• Walmart Inc.
• Mary Halverson Wettach, D.D.S., M.S.
• Christina White
• James C Widmer, MD
• Nicole Erin Williams, PT
• Mary Anna Woodard, MD

• All providers in Mount Pleasant, IA
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.