Individual provider Active NPI

Mary Elizabeth Vendetti, D.M.D.

  • General Practice Dentistry
  • Eugene, OR
National Provider Identifier
1811998669
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D7222 Issued in OR
Practice address
10 Coburg Rd Ste 202
Eugene, OR 97401-7487
Phone
(541) 485-1131
Fax
(541) 505-7709
NPI assigned
Aug 2, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D7222 OR Primary

Addresses

Primary practice location

10 Coburg Rd Ste 202
Eugene, OR 97401-7487

Mailing address

10 Coburg Rd Ste 202
Eugene, OR 97401-7487
Phone (541) 485-1131

Other names 1

  • Molly Elizabeth Vendetti Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160817000434 OR Order and Referring Only - Other (Non-Physician) 1951696871

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D7222ORMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Molly E. Vendetti D.M.D., P.C. General Practice CurrentSince Aug 17, 2025 Accepting new patients

Locations

10 Coburg Rd
Ste 202
Eugene, OR 97401
Phone (541) 485-1131

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1811998669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 COBURG RD STE 202",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017487",
            "telephone_number": "541-485-1131",
            "fax_number": "541-505-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 COBURG RD STE 202",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017487",
            "telephone_number": "541-485-1131",
            "fax_number": "541-505-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENDETTI",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "VENDETTI",
            "middle_name": "ELIZABETH",
            "credential": "D.M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.