Active NPI
Mary Elizabeth Vendetti, D.M.D.
- General Practice Dentistry
- Eugene, OR
National Provider Identifier
1811998669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D7222
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160817000434 | OR | Order and Referring Only - Other (Non-Physician) | 1951696871 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D7222 | OR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Molly E. Vendetti D.M.D., P.C. | General Practice | Current | 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.
-
- General Practice Dentistry
- Eugene, OR
- NPI 1447046750
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.