Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JON PETER VANDEWALKER, DDS, MS, FAGD, ABGD
ActiveDentist · LOOMIS, CA
Registration Details
- NPI Number
- 1366671208
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2009 (16.834783666777 yrs)
- Last Updated
- Dec 1, 2017
- Licenses
-
DE 60056659 (WA)65116 (CA)
Practice Information
- Address
-
6135 KING RD STE BLOOMIS, CA, 956508877Browse CA providers · Browse ZIP 95650
- Phone
- 9166525863
- Fax
- 9166525338
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Providers in LOOMIS, CA
| Name | Credential | NPI |
|---|---|---|
| NAVNEET KAUR | — | 1598197592 |
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.