John Dale Vredenburg III, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D010951 Issued in AZ

Practice address

8878 E Tanque Verde Rd
Tucson, AZ 85749-9500

Phone

(520) 749-1230

Fax

(520) 749-9808

NPI assigned

Sep 6, 2019

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Smiles Only Dental PLLC

  • General Practice Dentistry
  • Tucson, AZ
  • NPI 1801733738
  NPD Authorized official
• Smiles Only PLLC

  • General Practice Dentistry
  • Tucson, AZ
  • NPI 1467399394
  NPD Authorized official

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1700435393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8878 E TANQUE VERDE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857499500",
            "telephone_number": "520-749-1230",
            "fax_number": "520-749-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8878 E TANQUE VERDE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857499500",
            "telephone_number": "520-749-1230",
            "fax_number": "520-749-9808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2165 W Orange Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857413118",
            "country_code": "US",
            "telephone_number": "520-749-1230",
            "fax_number": "520-749-9808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VREDENBURG",
        "first_name": "JOHN",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-06",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D010951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Elizabeth Vose
• Wayne Fred Vose, M.D.
• Keith Eric Votens, O.D
• Dimitri S Voulgaropoulos, M.D.
• Voyager Wellness Clinic, Inc
• Spencer Vroegop, DO
• VSR Healthcare, Incorporated
• Alicia Vu, PHARMD
• Barbara Magno Vucasovich, SA-C
• Edythe Vuke Ryan, LCSW

• General Practice Dentistry in Tucson, AZ
• Providers in Tucson, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.