Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH WAYNE VANSICKLE JR., D.M.D
ActiveDR. KENNETH WAYNE VANSICKLE JR., D.M.D is a General Dentistry healthcare provider located in SANTA FE, New Mexico. NPI 1033196118 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · SANTA FE, NM
Registration Details
- NPI Number
- 1033196118
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 29, 2005 (20.590061766562 yrs)
- Last Updated
- Apr 23, 2013
- License
-
DD2304 (NM)
Practice Information
- Address
-
2008 SAINT MICHAELS DRSUITE BSANTA FE, NM, 875057682Browse NM providers · Browse ZIP 87505
- Phone
- 5054744993
- Fax
- 5054744973
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in SANTA FE, NM
| Name | Credential | NPI |
|---|---|---|
| EDMUND L TRUJILLO | DDS | 1467447706 |
| DR. ALFRED NMN OTERO JR. | DDS | 1841271335 |
| KATHRYNE FENG | DDS | 1750367694 |
| DR. STEPHEN PAUL BRODERSON | D.D.S. | 1821062746 |
| DR. MICHAEL H GALLEGOS | D.D.S. | 1639132715 |
| EZLEN RONALD TRUJILL | DDS | 1154347201 |
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.