Family Dental Health Services, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6739 Issued in IA

Legal business name

FAMILY DENTAL HEALTH SERVICES, INC

Practice address

501 S White St
Mt Pleasant, IA 52641-2600

Phone

(319) 385-6750

Fax

(319) 385-6752

NPI assigned

May 9, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mary H Wettach, D.D.S.NPI 1366593642

Title

President

Phone

(319) 385-6750

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Halverson Wettach, D.D.S., M.S.

  • General Practice Dentistry
  • Mt Pleasant, IA
  • NPI 1366593642
  Authorized official Same address or phone

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205040235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S WHITE ST",
            "city": "MT PLEASANT",
            "state": "IA",
            "postal_code": "526412600",
            "telephone_number": "319-385-6750",
            "fax_number": "319-385-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S WHITE ST",
            "city": "MT PLEASANT",
            "state": "IA",
            "postal_code": "526412600",
            "telephone_number": "319-385-6750",
            "fax_number": "319-385-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WETTACH",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-385-6750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "6739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elements Family Therapy, LLC
• Nichole Ellington, LMHC-T
• Douglas R Elliott, M.D.
• Emily Jo Ellis, FNP-BC
• Eye Physicians and Surgeons L L P
• Family Medicine of Mt. Pleasant, P.C.
• Blair C Farris, LSW
• Field Family Chiropractic PC
• Brock Stephen Field, D.C.
• Stephanie Sue Fischer, MSN-FNP

• General Practice Dentistry in Mt Pleasant, IA
• Providers in Mt Pleasant, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.