Dr. Kenneth Wayne Vansickle Jr.
D.M.D | Dentist
2008 Saint Michaels Dr, Suite B, Santa Fe
New Mexico, 87505-7682
505-474-4993 505-474-4973
Maps & DirectionsDr. Kenneth Wayne Vansickle Jr. is a Santa Fe, New Mexico based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Kenneth Wayne Vansickle Jr. is
DD2304 for General Practice Dentistry in New Mexico. His current practice location is
2008 Saint Michaels Dr, Suite B, Santa Fe. Patients can reach him at
505-474-4993.
Dr. Kenneth Wayne Vansickle Jr. is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Kenneth Wayne Vansickle Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Kenneth Wayne Vansickle Jr. |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | D.M.D |
| Accepts Medicare Assignment: | No |
| Practice Address: | 2008 Saint Michaels Dr, Suite B, Santa Fe,
New Mexico, 87505-7682 |
| Phone: | 505-474-4993 |
| Fax: | 505-474-4973 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1033196118 |
| NPI Enumeration Date: | 29 Dec, 2005 |
| NPI Last Update On: | 23 Apr, 2013 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kenneth Wayne Vansickle Jr. are as mentioned below.
| License Number | Specialization | State | Status | |
| DD2304 | General Practice Dentistry | New Mexico | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kenneth Wayne Vansickle Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 160531 | Other | New Mexico | UNITED CONCORDIA |
| 9177992 | Medicaid | New Mexico | |
| 52823083 | Medicaid | New Mexico | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 16 Arcade Unit 198747,
Nashville, Tennessee |
| Zip: | 37219-1994 |
| Phone Number: | 615-750-0343 |
| Fax Number: | 615-986-1705 |
Patients can reach Dr. Kenneth Wayne Vansickle Jr. at
2008 Saint Michaels Dr, Suite B, Santa Fe, New Mexico or can
call to book an appointment on 505-474-4993.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.