Scott Waletzko

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE 60045256 Issued in WA

Practice address

275 SE Cabot Dr
Suite B-204
Oak Harbor, WA 98277-3715

Phone

(360) 675-2284

NPI assigned

Oct 15, 2009

Last updated

Mar 23, 2026By the provider in NPPES

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Scott B. Waletzko, DDS, PLLC

  dba The Dental Place

  • General Practice Dentistry
  • Oak Harbor, WA
  • NPI 1639017650
  NPD Authorized official

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1205161825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 SE CABOT DR STE B204",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982773755",
            "telephone_number": "360-675-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 SE CABOT DR",
            "address_2": "SUITE B-204",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982773715",
            "telephone_number": "360-675-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALETZKO",
        "first_name": "SCOTT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-15",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE 60045256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Vinceslio, DO
• Jonathan Volland
• Rachelle Vongrey, ARNP, CNM
• Amanda Waite, RBT
• Amy Ann Walchenbach, ARNP, CFNP
• Walgreen Co (Walgreens #11214)
• Dustin Walker
• Walmart Inc. (Walmart Pharmacy 10-2319)
• George Leigh Walrath, DMD
• Peter Hudson Wandera

• General Practice Dentistry in Oak Harbor, WA
• Providers in Oak Harbor, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.