DR. TRACEY JEAN DELLAVECCHIA D.D.S.
NPI 1205802303
Dentist in Douglas, MI

Active since February 27, 2006
430 130TH AVE, DOUGLAS, MI 49406(269) 857-1431(269) 857-4089 Get Directions Write a Review

NPPES record last updated: August 6, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Tracey Jean Dellavecchia D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TRACEY JEAN DELLAVECCHIA D.D.S. (NPI 1205802303) is an individual dentist in Douglas, Michigan, licensed in Michigan (2901018649) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1205802303
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. TRACEY JEAN DELLAVECCHIACredential: D.D.S.
Location Address430 130TH AVEDouglas, MI 49406-5100
Mailing AddressPo Box 109Douglas, MI 49406-0109 · (269) 857-1431 · Fax (269) 857-4089
Fax(269) 857-4089
Sole ProprietorNo
Enumeration DateFebruary 27, 2006
Last NPPES UpdateAugust 6, 2009
NPI 1205802303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MI · 2901018649
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
430 130TH AVE, Douglas, MI 49406

Other Names 1

Former Name (1)Dr. Tracey Jean Lee D.d.s.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
430 130TH AVE
DOUGLAS, MI 49406

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracey Dellavecchia's NPI number?

The NPI number for Tracey Dellavecchia is 1205802303. It was assigned to this individual provider in the NPPES registry on February 27, 2006. The provider is also known as Dr. Tracey Jean Lee D.D.S..

Where is Tracey Dellavecchia located?

Tracey Dellavecchia practices at 430 130th Ave, Douglas, MI 49406. The listed phone number is (269) 857-1431.

What is Tracey Dellavecchia's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Tracey Dellavecchia was last updated on August 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.