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DR. KENNETH WAYNE VANSICKLE JR. D.M.D
NPI 1033196118
Dentist - General Practice in Santa Fe, NM

Active since December 29, 2005
2008 SAINT MICHAELS DR, SUITE B, SANTA FE, NM 87505(505) 474-4993(505) 474-4973 Get Directions Write a Review

NPPES record last updated: April 23, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenneth Wayne Vansickle Jr. D.m.d NPPES

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

DR. KENNETH WAYNE VANSICKLE JR. D.M.D (NPI 1033196118) is an individual general practice provider in Santa Fe, New Mexico, licensed in New Mexico (DD2304) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1033196118
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KENNETH WAYNE VANSICKLE JR.Credential: D.M.D
Location Address2008 SAINT MICHAELS DR, SUITE BSanta Fe, NM 87505-7682
Mailing Address16 Arcade Unit 198747Nashville, TN 37219-1994 · (615) 750-0343 · Fax (615) 986-1705
Phone(505) 474-4993
Fax(505) 474-4973
Sole ProprietorNo
Enumeration DateDecember 29, 2005
Last NPPES UpdateApril 23, 2013
✔ NPI 1033196118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NM · DD2304
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2008 SAINT MICHAELS DR, Santa Fe, NM 87505
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Other Identifiers 3

Other160531NM · United Concordia
Medicaid9177992NM
Medicaid52823083NM

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICK J MCQUITTY
Dentist (General Practice)
2008 SAINT MICHAELS DR, #B
SANTA FE, NM 87505
Santa Fe County (505) 474-4993
STEPHEN FRANCIS CARVER O.D.
Optometrist
2008 SAINT MICHAELS DR, SUITE A
SANTA FE, NM 87505
Santa Fe County (505) 983-4709
SANTA FE CHILDREN'S DENTISTRY
Dentist (Pediatric Dentistry)
2008 SAINT MICHAELS DR, SUITE B
SANTA FE, NM 87505
Santa Fe County (505) 892-9010
MELVIN H TAKAKI
Dentist (General Practice)
2008 SAINT MICHAELS DR, #B
SANTA FE, NM 87505
Santa Fe County (505) 474-4993
SMALL SMILES DENTISTRY FOR CHILDREN, SANTA FE, PC
Dentist (General Practice)
2008 SAINT MICHAELS DR, #B
SANTA FE, NM 87505
Santa Fe County (505) 474-4993
PHILIP TREU OD PC
Optometrist
2008 SAINT MICHAELS DR, SUITE A
SANTA FE, NM 87505
Santa Fe County (505) 983-4709

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 Vansickle's NPI number?

The NPI number for Kenneth Vansickle is 1033196118. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is Kenneth Vansickle located?

Kenneth Vansickle practices at 2008 Saint Michaels Dr Suite B, Santa Fe, NM 87505. The listed phone number is (505) 474-4993.

What is Kenneth Vansickle's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kenneth Vansickle was last updated on April 23, 2013. 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.