DR. KEN VANDEWALLE DDS
NPI 1497164503
Dentist in San Antonio, TX

Active since August 04, 2014
6535 CAGNON RD, SAN ANTONIO, TX 78252(210) 675-6620 Get Directions Write a Review

NPPES record last updated: August 4, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ken Vandewalle Dds NPPES

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

DR. KEN VANDEWALLE DDS (NPI 1497164503) is an individual dentist in San Antonio, Texas, licensed in Texas (12081) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1497164503
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KEN VANDEWALLECredential: DDS
Location Address6535 CAGNON RDSan Antonio, TX 78252-2211
Mailing Address6535 Cagnon RdSan Antonio, TX 78252-2211 · (210) 675-6620
Sole ProprietorYes
Enumeration DateAugust 4, 2014
NPI 1497164503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in TX · 12081
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.
6535 CAGNON RD, San Antonio, TX 78252

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 Ken Vandewalle's NPI number?

The NPI number for Ken Vandewalle is 1497164503. It was assigned to this individual provider in the NPPES registry on August 4, 2014.

Where is Ken Vandewalle located?

Ken Vandewalle practices at 6535 Cagnon Rd, San Antonio, TX 78252. The listed phone number is (210) 675-6620.

What is Ken Vandewalle's specialty?

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

When was this NPI record last updated?

The NPPES record for Ken Vandewalle was last updated on August 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.