Dr Jonathan Vandenburgh, DDS is a
Dentist based in Mattawan, Michigan. Dr Jonathan Vandenburgh is licensed to practice in Michigan (license number 2901021650) and his current practice location is
56400 City Center Cir, Mattawan, Michigan. He can be reached at his office (for appointments etc.) via phone at
(269) 568-2609.
NPI number for Dr Jonathan Vandenburgh is 1407230212 and his current mailing address is 70844 Fox Creek Blvd, Lawton, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407230212.
Healthcare Provider's Profile
| Full Name | Dr Jonathan Vandenburgh |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 56400 City Center Cir, Mattawan, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1407230212
- Provider Enumeration Date: 07/13/2015
- Last Update Date: 12/26/2024
Medical Identifiers
Medical identifiers for Dr Jonathan Vandenburgh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407230212 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 2901021650 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jonathan Vandenburgh is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jonathan Vandenburgh, DDS
70844 Fox Creek Blvd,
Lawton, MI 49065-7807
Ph: (269) 568-2609 | Dr Jonathan Vandenburgh, DDS
56400 City Center Cir,
Mattawan, MI 49071-8380
Ph: (269) 568-2609 |
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