Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kenneth Luckie Vandervoort Jr., DMD

Individual provider Dentist · NPI 1023361896

Dr. Kenneth Luckie Vandervoort Jr., DMD is a Dentist in Birmingham, Alabama. Licensed in Alabama. Registered with an NPI since 2012.

Licensed in
AL
In the registry since
2012
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1117 Gladstone Ave
Birmingham, AL 35213-1415
Phone: (256) 239-3890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 5923 (AL)

Record details

NPI number1023361896
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedOctober 18, 2012
Last updated in NPPESOctober 18, 2012

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