NPIMap

Organization Active NPI

Vezzetti Family Dental Care

  • Dental Clinic/Center
  • Sussex, WI
National Provider Identifier
1972867968
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
504215 Issued in WI
Legal business name
VEZZETTI FAMILY DENTAL CARE
Practice address
W249N5245 Executive Dr
Suite 206
Sussex, WI 53089-4393
Phone
(262) 820-3330
NPI assigned
Jun 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Authorized official

Name
Dr. Mary Beth Vezzetti, DDS
Title
Owner
Phone
(262) 820-3330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 504215 WI Primary

Addresses

Primary practice location

W249N5245 Executive Dr
Suite 206
Sussex, WI 53089-4393

Mailing address

W249N5245 Executive Dr
Suite 206
Sussex, WI 53089-4393
Phone (262) 820-3330

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1972867968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W249N5245 EXECUTIVE DR",
            "address_2": "SUITE 206",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530894393",
            "telephone_number": "262-820-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W249N5245 EXECUTIVE DR",
            "address_2": "SUITE 206",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530894393",
            "telephone_number": "262-820-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEZZETTI FAMILY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-25",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "VEZZETTI",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-820-3330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "504215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sussex, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.