Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ALEX R VANACKER, DDS
ActiveDR. ALEX R VANACKER, DDS is a Dentist healthcare provider located in PENROSE, Colorado. NPI 1083723118 is currently active in the NPPES registry. Verify at CMS.
Dentist · PENROSE, CO
Registration Details
- NPI Number
- 1083723118
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2006 (19.776471453325 yrs)
- Last Updated
- Jul 8, 2007
- License
-
COLO105937 (CO)
Practice Information
- Address
-
712 BROADWAY STPENROSE, CO, 812409003Browse CO providers · Browse ZIP 81240
- Phone
- 7193723041
- Fax
- 7193720163
- Primary Specialty
-
Dentist
122300000X
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.