Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES DOUGLAS VANDYCK III, DDS, MSD
Active Sole ProprietorDR. CHARLES DOUGLAS VANDYCK III, DDS, MSD is a Periodontology healthcare provider located in GREAT FALLS, Montana. NPI 1508915588 is currently active in the NPPES registry. Verify at CMS.
Periodontology · GREAT FALLS, MT
Registration Details
- NPI Number
- 1508915588
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 9, 2007 (19.408503062501 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1369 (MT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2601 16TH AVE SGREAT FALLS, MT, 594055202Browse MT providers · Browse ZIP 59405
- Phone
- 4067276232
- Primary Specialty
-
Periodontology
1223P0300X
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.