Mark J Wegzyn, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8912 Issued in TN

Practice address

914 New Highway 68
Sweetwater, TN 37874-2729

Phone

(423) 337-2034

Fax

(423) 337-2036

NPI assigned

Mar 27, 2007

Last updated

Feb 7, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Tennessee Dental Professionals, PC

  dba Secret City Dental Care

  • General Practice Dentistry
  • Oak Ridge, TN
  • NPI 1174000780
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1598883746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 BROCHARDT BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379340935",
            "telephone_number": "865-288-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 NEW HIGHWAY 68",
            "city": "SWEETWATER",
            "state": "TN",
            "postal_code": "378742729",
            "telephone_number": "423-337-2034",
            "fax_number": "423-337-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGZYN",
        "first_name": "MARK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "MI 012859",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901012859",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "8912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waters of Sweetwater a Rehabilitation & Nursing Center LLC
• Marc Wattenbarger
• Brenda P Watts, RPH
• John Watts Jr., R. PH
• Christina L Weber, MD
• Hannah Marie Wells, PA
• Wendy Saint Robbins, Pediatric, PLLC
• William L. Harvey, MD, PC
• Harley Danielle Wilson
• Lori Younce, FNP

• General Practice Dentistry in Sweetwater, TN
• Providers in Sweetwater, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.