Organization
PATRIOT DENTAL SNEAD LLC
Active
Parent organization
PATRIOT DENTAL GUNTERSVILLE LLC
Other names
Kenneth Luckie Vandervoort DMD, Patriot Dental Guntersville
Organization subpart
Yes
Provider details
NPI number
Legal business name
PATRIOT DENTAL GUNTERSVILLE LLC
Authorized official
DR. KENNETH LUCKIE VANDERVOORT JR. DMD (OWNER)
(205) 466-7188
Entity
Organization
Contact information
Practice address
88223 US HIGHWAY 278, SNEAD, AL 35952-9643
(205) 466-7188
(205) 466-8188
Mailing address
PO BOX 627, SNEAD, AL 35952-0627
(205) 466-7188
(205) 466-8188
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/08/2024
Last updated
07/28/2026
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