Jeffrey R. Wert DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JEFFREY R. WERT DMD PC

Practice address

2796 Route 611
Tannersville, PA 18372

Phone

(570) 629-1570

NPI assigned

Jul 8, 2025

Organization subpart

No

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

Authorized official

Name

Kaitlyn Hansen

Title

Revenue Assurance Specialist

Phone

(360) 710-1851

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1366332736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 485",
            "city": "TANNERSVILLE",
            "state": "PA",
            "postal_code": "183720485",
            "telephone_number": "570-629-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2796 ROUTE 611",
            "city": "TANNERSVILLE",
            "state": "PA",
            "postal_code": "18372",
            "telephone_number": "570-629-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY R. WERT DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "KAITLYN",
        "authorized_official_title_or_position": "REVENUE ASSURANCE SPECIALIST",
        "authorized_official_telephone_number": "360-710-1851"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Tannersville, PA
• Providers in Tannersville, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.