Anna Alexis Vassallo, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

14710 Issued in NC

Practice address

908 N US Highway 421
Clinton, NC 28328-0410

Phone

(910) 299-0991

NPI assigned

Apr 28, 2026

Last updated

Aug 3, 2026By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

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.

Specialty

Dentist

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Goshen Medical Center Incorporated

  dba GMC Pharmacy at Rockingham

  • Federally Qualified Health Center (FQHC)
  • Rockingham, NC
  • NPI 1457181323
  NPD (past)
• Goshen Medical Center, Inc.

  dba Clinton Dental Services

  • Federally Qualified Health Center (FQHC)
  • Clinton, NC
  • NPI 1477878874
  NPD (past)

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

{
    "created_epoch": "1777334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1689510976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9425 DELEGATES ROW",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403805",
            "telephone_number": "317-255-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N US HIGHWAY 421",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283280410",
            "telephone_number": "910-299-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASSALLO",
        "first_name": "ANNA",
        "middle_name": "ALEXIS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-28",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "14710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Averitt Tyndall, FNP-C
• Unc Physicians Network Group Practices, LLC (Clinton Medical Clinic)
• Unc Physicians Network, LLC (Clinton Medical Clinic)
• United Home Care, Inc.
• Michael Arthur Valenti, M.D.
• Albert Alexander Verrilli III, M.D.
• Verenise Yamilet Villa Vazquez
• Paul Edward Viser, MD PA
• Visions Residential Healthcare Services
• Mariah Taylor Voorhees, DMD

• Dentist in Clinton, NC
• Providers in Clinton, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.