IndividualActive
Kenneth Vanasma, DDS
NPI 1720116866 · Oral and Maxillofacial Surgery (Dentist) · Piedmont, SD
Provider details
- NPI number
- 1720116866
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- M718 (SD)
Specialties & taxonomies
Dental Providers
Practice location
15308 Grand View Dr
Piedmont, SD 57769-7326
Phone: (605) 787-6218
Approximate (ZIP-level) locationGet directions
Mailing address
15308 Grand View Dr
Piedmont, SD 57769-7326
Registry dates
- Enumerated
- 2007-03-01
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.