Gary Scott Wetreich, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

14865 Issued in MA

Practice address

1 Washington Street
Suite 204
Wellesley, MA 02481-1706

Phone

(781) 237-0871

Fax

(781) 237-0871

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285652610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON STREET",
            "address_2": "SUITE 204",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024811706",
            "telephone_number": "781-237-0871",
            "fax_number": "781-237-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON STREET",
            "address_2": "SUITE 204",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024811706",
            "telephone_number": "781-237-0871",
            "fax_number": "781-237-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETREICH",
        "first_name": "GARY",
        "middle_name": "SCOTT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "14865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellesley Wound Care LLC
• Wellness Care Associates PLLC
• Wellspace Primary Care PLLC
• David John Wenzel, M.D.
• West Suburban Internists Inc
• Samantha White
• Cassandra Whitman, BCBA, LABA
• Whole Health LLC
• John S Whyman, M.D.
• Joanne M Wilkinson, M.D.

• Prosthodontics in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Prosthodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.