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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANNA ALEXIS VASSALLO DMD
NPI 1689510976
Dentist in Clinton, NC

Active since April 28, 2026PECOS Enrolled
908 N US HIGHWAY 421, CLINTON, NC 28328(910) 299-0991 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 3, 2026, Jun 4, 2026, Apr 28, 2026 (3 updates tracked since 2026).

About Anna Alexis Vassallo Dmd NPPES

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

ANNA ALEXIS VASSALLO DMD (NPI 1689510976) is an individual dentist in Clinton, North Carolina, licensed in North Carolina (14710) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689510976
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameANNA ALEXIS VASSALLOCredential: DMD
Location Address908 N US HIGHWAY 421Clinton, NC 28328-0410
Mailing Address9425 Delegates RowIndianapolis, IN 46240-3805 · (317) 255-6800
Phone(910) 299-0991
Sole ProprietorNo
Enumeration DateApril 28, 2026
Last NPPES UpdateAugust 3, 20263 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
✔ NPI 1689510976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NC · 14710
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.
908 N US HIGHWAY 421, Clinton, NC 28328
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anna Alexis Vassallo Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28328 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

GOSHEN MEDICAL CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
908 N US HIGHWAY 421
CLINTON, NC 28328
Sampson County (910) 267-0951
ANGELLA MAE SHERRILL D.M.D.
Dentist (General Practice)
908 N US HIGHWAY 421
CLINTON, NC 28328
Sampson County (910) 299-0991

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 Anna Vassallo's NPI number?

The NPI number for Anna Vassallo is 1689510976. It was assigned to this individual provider in the NPPES registry on April 28, 2026.

Where is Anna Vassallo located?

Anna Vassallo practices at 908 N Us Highway 421, Clinton, NC 28328. The listed phone number is (910) 299-0991.

What is Anna Vassallo's specialty?

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

Is Anna Vassallo enrolled in Medicare?

Yes. Anna Vassallo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anna Vassallo was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.