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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KENNETH LUCKIE VANDERVOORT JR., D.M.D.

Active

DR. KENNETH LUCKIE VANDERVOORT JR., D.M.D. is a Dentist healthcare provider located in BIRMINGHAM, Alabama. NPI 1023361896 is currently active in the NPPES registry. Verify at CMS.

Dentist · BIRMINGHAM, AL

Registration Details

NPI Number
1023361896
Provider Type
Individual
Gender
Male
NPI Issued
Oct 18, 2012 (13.815959461496 yrs)
Last Updated
Oct 18, 2012
License
5923 (AL)

Practice Information

Address
1117 GLADSTONE AVE
BIRMINGHAM, AL, 352131415
Browse AL providers · Browse ZIP 35213
Phone
2562393890
Primary Specialty
Dentist
122300000X

Other Dentist Providers in BIRMINGHAM, AL

Name Credential NPI
DR. LEONARD DOUGLAS BECKHAM DMD 1740286095
DR. STUART CURRY D.M.D. 1710972146
DR. MONICA PAIGE PARHAM D.D.S. 1548378896
DR. CRAWFORD GLENN BADHAM D.M.D. 1356443329
DR. EVELYN ROSE FRAZIER COLN D.M.D. 1952403917
DR. ROBERT M RAMSAY JR. DMD 1083719249
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.