Dr. 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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.