Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kenneth Wayne Vansickle Jr., DMD

Individual provider General Practice Dentistry · NPI 1033196118

Dr. Kenneth Wayne Vansickle Jr., DMD is a General Practice Dentistry in Santa Fe, New Mexico. Licensed in New Mexico. Registered with an NPI since 2005.

Licensed in
NM
In the registry since
2005
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

2008 Saint Michaels Dr Ste B
Santa Fe, NM 87505-7682
Phone: (505) 474-4993
Fax: (505) 474-4973
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DD2304 (NM)

Record details

NPI number1033196118
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedDecember 29, 2005
Last updated in NPPESApril 23, 2013

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