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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265963359

Sage Jacklyn Vanantwerp, DMD is a Student in an Organized Health Care Education/Training Program in Maywood, Illinois. Registered with an NPI since 2017.

In the registry since
2017
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

2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (708) 327-3041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1265963359
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedMarch 21, 2017
Last updated in NPPESMarch 21, 2017
Mailing address2240 Sw 41st Ln, Gainesville, FL 32608-8002

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