Tetz & Varlakova Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TETZ & VARLAKOVA DENTAL CORPORATION

Doing business as

St Helena Family Dentistry

Practice address

1570 Railroad Ave
Saint Helena, CA 94574-1106

Phone

(707) 963-5369

NPI assigned

Apr 8, 2020

Organization subpart

No

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

Authorized official

Name

Emmett Lee Tetz, DDSNPI 1245586205

Title

Vice President

Phone

(707) 963-5369

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• St Helena Family Dentistry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emmett L Tetz, DDS

  • General Practice Dentistry
  • Napa, CA
  • NPI 1245586205
  NPD Authorized official
• David L Rice, DDS

  • General Practice Dentistry
  • Saint Helena, CA
  • NPI 1366436040
  NPD (past)

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1891324026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 SUNNYSIDE RD",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945749741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 RAILROAD AVE",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945741106",
            "telephone_number": "707-963-5369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TETZ & VARLAKOVA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2023-03-07",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "TETZ",
        "authorized_official_first_name": "EMMETT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "707-963-5369",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "61598",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Helena Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allyson Sutkowi-Hemstreet, PT, DPT, CSCS
• Gordon Sweeney, M.D.
• Douglas Philip Tapper, M.D.
• David John Tate, MD
• Evelynn Taylor
• Emmett Lee Tetz, M.D.
• Peggy Boyar Thomas, ACNP-BC
• Thrive Health by Marie Boling Hughes Medical Corporation
• Roelof Tikker, D.P.M.
• Lucian Toma

• General Practice Dentistry in Saint Helena, CA
• Providers in Saint Helena, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.