| Dr Kenneth Wayne Vansickle Jr, DMD | |
|
2008 Saint Michaels Dr, Suite B, Santa Fe, NM 87505-7682 | |
| (505) 474-4993 | |
| (505) 474-4973 |
| Full Name | Dr Kenneth Wayne Vansickle Jr |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 2008 Saint Michaels Dr, Santa Fe, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033196118 | NPI | - | NPPES |
| 160531 | Other | NM | UNITED CONCORDIA |
| 9177992 | Medicaid | NM | |
| 52823083 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DD2304 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Wayne Vansickle Jr, DMD 16 Arcade Unit 198747, Nashville, TN 37219-1994 Ph: (615) 750-0343 | Dr Kenneth Wayne Vansickle Jr, DMD 2008 Saint Michaels Dr, Suite B, Santa Fe, NM 87505-7682 Ph: (505) 474-4993 |
Dr. William G Wolfe, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2725 Aqua Fria, Santa Fe, NM 87507 Phone: 505-988-9868 Fax: 505-424-9288 | |
Dr. Bernard Ray Gavron, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 465 Saint Michaels Dr, Ste 208, Santa Fe, NM 87505 Phone: 505-988-7356 Fax: 505-992-8950 | |
Dr. Dorothy Lucille Beatty, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2 Calle Medico Ste 4, Santa Fe, NM 87505 Phone: 505-984-2288 | |
Derek R Preble, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3875 Cerrillos Rd, Santa Fe, NM 87507 Phone: 801-971-5881 | |
Dr. James Franklin Wolcott Iv, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 539 Harkle Rd, Suite C, Santa Fe, NM 87505 Phone: 505-819-5690 Fax: 505-819-5691 | |
Dr. Kristin Wayne Hendricks, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2904 Rodeo Park Dr E, Suite 300b, Santa Fe, NM 87505 Phone: 505-473-5437 Fax: 505-438-3443 |