Dr. Vandello Family Dentistry, P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DDS09008 Issued in IA

Legal business name

DR. VANDELLO FAMILY DENTISTRY, P.C.

Practice address

1047 Thorndale Ave
Waterloo, IA 50701-3349

Phone

(319) 235-0164

NPI assigned

Feb 27, 2017

Last updated

Feb 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Vandello, D.D.S.

Title

President/General Dentist

Phone

(319) 235-0164

Specialties & licenses 1

Addresses

Tax ID family

Dr Vandello Family Dentistry PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Thomas G. Friedman DDS, PC

  • General Practice Dentistry
  • Waterloo, IA
  • NPI 1295112746
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas G Friedman, DDS

  • Dentist
  • Waterloo, IA
  • NPI 1700977691
  NPD (past)

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1891235768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1047 THORNDALE AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507013349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1047 THORNDALE AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507013349",
            "telephone_number": "319-235-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. VANDELLO FAMILY DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "VANDELLO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/GENERAL DENTIST",
        "authorized_official_telephone_number": "319-235-0164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IA",
            "license": "DDS09008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Doering, ARNP
• Eric M Dolash, PA-C
• Austin Dollmeyer, PHARMD
• Michael Donnelly
• Scott Robert Doyle, CRNA
• Elizabeth W Drelich, LISW-CP
• Drier & Associates, Inc.
• William Drier, PH.D.; LISW
• Craig Warren Driver, D.D.S.
• Gyobanna C Driver, MD

• Dental Clinic/Center in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Dental Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.