Organization
MICHAEL VANDENBERG, D.D.S., P.A.
Active
Other names
Michael E. Vandenberg DDS
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E. VANDENBERG DDS (OWNER)
(913) 888-6220
Entity
Organization
Contact information
Practice address
9226 PFLUMM RD, LENEXA, KS 66215-3346
(913) 888-6220
(913) 888-8464
Mailing address
9226 PFLUMM RD, LENEXA, KS 66215-3346
(913) 888-6220
(913) 888-8464
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376561704
INDIVIDUAL NPI NUMBER
KS
Enumeration date
03/22/2007
Last updated
08/22/2020
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