Healthcare Provider Details

I. General information

NPI: 1326976036
Provider Name (Legal Business Name): MATTHEW WETZEL DDS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26485 CARMEL RANCHO BLVD STE 1
CARMEL CA
93923-8706
US

IV. Provider business mailing address

26485 CARMEL RANCHO BLVD STE 1
CARMEL CA
93923-8706
US

V. Phone/Fax

Practice location:
  • Phone: 831-626-5900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CASEY CASTLE
Title or Position: CREDENTIALING
Credential:
Phone: 912-732-1504