Verutzka N Soza, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

08503 Issued in IA

Practice address

100 W Walnut Ave Ste 142
Dalton, GA 30720-8440

Phone

(706) 529-8427

NPI assigned

Aug 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1285824565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SCOTT ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528011130",
            "telephone_number": "563-336-3221",
            "fax_number": "563-336-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W WALNUT AVE STE 142",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208440",
            "telephone_number": "706-529-8427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOZA",
        "first_name": "VERUTZKA",
        "middle_name": "N",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013956",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0080200",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP NPI #",
            "identifier": "1932193224",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Parag Harish Soni, DDS
• Pooja M Soni, M.D.
• Cortney Ella Sordelet
• Lady Catherine Sotelo, D.M.D
• Southern Home Care Services, Inc.
• Phyllis Spahn, LPC, NCC, RD, LD
• Richard Franklin Spanjer, M.D.
• Crystal Sparks
• Spencer C. Misner,DPM,PC
• Sphere, PC

• General Practice Dentistry in Dalton, GA
• Providers in Dalton, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.