DR. ALEX R VANACKER DDS
NPI 1083723118
Dentist in Penrose, CO

Active since August 30, 2006
712 BROADWAY ST, PENROSE, CO 81240(719) 372-3041(719) 372-0163 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Alex R Vanacker Dds NPPES

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

DR. ALEX R VANACKER DDS (NPI 1083723118) is an individual dentist in Penrose, Colorado, licensed in Colorado (COLO105937) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1083723118
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. ALEX R VANACKERCredential: DDS
Location Address712 BROADWAY STPenrose, CO 81240-9003
Mailing AddressPo Box 318, 712 S BroadwayPenrose, CO 81240-0318 · (719) 372-3041 · Fax (719) 372-0163
Fax(719) 372-0163
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1083723118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CO · COLO105937
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.

712 BROADWAY ST, Penrose, CO 81240

Other Identifiers 2

Medicaid02105930CO
Other89152United Concordia

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083723118, enumerated as an "individual" on August 30, 2006.

The provider is located at 712 BROADWAY ST PENROSE, CO 81240 and the phone number is (719) 372-3041.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: BEST Life, Blue Cross and Blue Shield of Montana,. Please consult your insurance carrier or call the provider to verify.