NICHOLAS J VANDEMOORTEL, DDS, PC
NPI 1043958952
Clinic/Center - Dental in Springfield, MI

Q: What is Nicholas J Vandemoortel, Dds, PC's NPI number?

The NPI number for Nicholas J Vandemoortel, Dds, PC is 1043958952. It was assigned to this organization in the NPPES registry on May 23, 2022. The provider is doing business as South Custer Family Dental.

Q: What is Nicholas J Vandemoortel, Dds, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since May 23, 2022

572 MILITARY ST, SPRINGFIELD, MI 49037(269) 964-0357(269) 964-0929 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nicholas J Vandemoortel, Dds, Pc NPPES

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

NICHOLAS J VANDEMOORTEL, DDS, PC (NPI 1043958952), doing business as South Custer Family Dental, is a healthcare organization registered as a dental in Springfield, Michigan and active in the NPI registry since May 2022. The organization lists Nicholas James Vandemoortel, Owner/ Dentist, as its authorized official.

NPPES Registry Identity

NPI1043958952

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameNICHOLAS J VANDEMOORTEL, DDS, PC

Location Address572 MILITARY STSpringfield, MI 49037-7599

Mailing Address572 Military StSpringfield, MI 49037-7599 · (269) 964-0357 · Fax (269) 964-0929

Phone(269) 964-0357

Fax(269) 964-0929

Organization SubpartNo

Authorized OfficialNicholas James VandemoortelOwner/ Dentist · (269) 964-0357

Enumeration DateMay 23, 2022

NPPES CertifiedMay 23, 2022

✔ NPI 1043958952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

572 MILITARY ST, Springfield, MI 49037

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Other Names 1

Doing Business AsSouth Custer Family Dental

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 Nicholas J Vandemoortel, Dds, PC's NPI number?

The NPI number for Nicholas J Vandemoortel, Dds, PC is 1043958952. It was assigned to this organization in the NPPES registry on May 23, 2022. The provider is doing business as South Custer Family Dental.

Where is Nicholas J Vandemoortel, Dds, PC located?

Nicholas J Vandemoortel, Dds, PC is located at 572 Military St, Springfield, MI 49037. The listed phone number is (269) 964-0357.

What is Nicholas J Vandemoortel, Dds, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Nicholas J Vandemoortel, Dds, PC was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.