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Dr. Andrew Vansicklen, DDS
General Practice Dentistry in San Luis Obispo, California
NPI 1538457775

Andrew Vansicklen is a General Practice Dentistry based in San Luis Obispo, CA and is specialized in General Practice. Andrew Vansicklen practices in San Luis Obispo, CA and has the professional credentials of DDS. The NPI Number for Andrew Vansicklen is 1538457775 and holds a License No. (California).

The current practice location address for Andrew Vansicklen is 1042 Pacific St, San Luis Obispo, CA and can be reached out via phone at 805-543-6963 and via fax at 805-543-8656.

Location: 1042 Pacific St, San Luis Obispo, CA, 93401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538457775
Provider Name
Andrew Vansicklen
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1042 Pacific St, San Luis Obispo, CA, 93401
Phone Number
805-543-6963
Fax Number
805-543-8656
Provider Enumeration Date
07/20/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1042 Pacific St
City
San Luis Obispo
State
California
Zip
93401
Phone Number
805-543-6963
Fax Number
805-543-8656
person
Provider Business Mailing Address Details
Address
1042 Pacific St
City
San Luis Obispo
State
California
Zip
93401
Phone Number
805-543-6963
Fax Number
805-543-8656
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
61717 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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