Dr. Matthew Benjamin Wettach, D.D.S.
Dentist, General Practice in Mount Pleasant, IA. Individual provider (NPI-1).
NPI number1043661614
StatusActive
Last updated in NPPESJun 24, 2016
Details
- NPI
- 1043661614
- Entity type
- Individual (NPI-1)
- Name
- Dr. Matthew Benjamin Wettach
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 24, 2016
- Last updated
- Jun 24, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DDS-09309 | IA | Yes |
Practice location
501 S White St Ste 28Mount Pleasant, IA 52641-2600
Phone 319-385-6750
Mailing address
2436 Iowa AveMount Pleasant, IA 52641-8200
Phone 319-931-4626
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Other General Practice Dentistry providers in Mount Pleasant, IA
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