| Michael Vandenberg, D.d.s., P.a. | |
|
9226 Pflumm Rd Lenexa KS 66215-3346 | |
| (913) 888-6220 | |
| (913) 888-8464 |
| Full Name | Michael Vandenberg, D.d.s., P.a. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9226 Pflumm Rd, Lenexa, Kansas |
| Authorized Official Name and Position | Michael E. Vandenberg (OWNER) |
| Authorized Official Contact | 9138886220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Vandenberg, D.d.s., P.a. 9226 Pflumm Rd Lenexa KS 66215-3346 Ph: (913) 888-6220 | Michael Vandenberg, D.d.s., P.a. 9226 Pflumm Rd Lenexa KS 66215-3346 Ph: (913) 888-6220 |
| NPI Number | 1992821862 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992821862 | NPI | - | NPPES |
| 1376561704 | Other | KS | INDIVIDUAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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