Individual
DR. MICHAEL ALLEN VANBEUKERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3700 BLUE SPRING RD NW STE F, HUNTSVILLE, AL 35810-3457
(256) 852-9994
(256) 852-7797
Mailing address
1900 CRESTWOOD BLVD, STE 211, IRONDALE, AL 35210-2034
(205) 271-6851
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4985
AL
1223G0001X
General Practice Dentistry
DN013075
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009930105
—
AL
05
—
009933948
—
AL
05
—
306805203A
—
GA
Enumeration date
08/31/2006
Last updated
03/14/2019
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