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DR. KENNETH LUCKIE VANDERVOORT JR. D.M.D.
NPI 1023361896
Dentist in Birmingham, AL

Active since October 18, 2012
1117 GLADSTONE AVE, BIRMINGHAM, AL 35213(256) 239-3890 Get Directions Write a Review

NPPES record last updated: October 18, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kenneth Luckie Vandervoort Jr. D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH LUCKIE VANDERVOORT JR. D.M.D. (NPI 1023361896) is an individual dentist in Birmingham, Alabama, licensed in Alabama (5923) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1023361896
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KENNETH LUCKIE VANDERVOORT JR.Credential: D.M.D.
Location Address1117 GLADSTONE AVEBirmingham, AL 35213-1415
Mailing Address1117 Gladstone AveBirmingham, AL 35213-1415 · (256) 239-3890
Phone(256) 239-3890
Sole ProprietorNo
Enumeration DateOctober 18, 2012
✔ NPI 1023361896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AL · 5923
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1117 GLADSTONE AVE, Birmingham, AL 35213
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Vandervoort's NPI number?

The NPI number for Kenneth Vandervoort is 1023361896. It was assigned to this individual provider in the NPPES registry on October 18, 2012.

Where is Kenneth Vandervoort located?

Kenneth Vandervoort practices at 1117 Gladstone Ave, Birmingham, AL 35213. The listed phone number is (256) 239-3890.

What is Kenneth Vandervoort's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Kenneth Vandervoort accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Kenneth Vandervoort as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Vandervoort was last updated on October 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.