MEDICARE: DR. JEFF VANDEVENTER D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	11814	TN
2	1223G0001X	General Practice Dentistry	12009154	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013007491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFF VANDEVENTER D.D.S.

Provider Business Mailing Address
First Line	:	3105 MIDDLE ROAD
Second Line	:	SUITE A
City	:	COLUMBUS
State	:	IN
Zip	:	47203-4472
Country	:	US
Telephone Number	:	812-379-4321
Fax Number	:	812-379-1977

Provider Business Practice Location Address
First Line	:	3105 MIDDLE ROAD
Second Line	:	SUITE A
City	:	COLUMBUS
State	:	IN
Zip	:	47203-4472
Country	:	US
Telephone Number	:	812-379-4321
Fax Number	:	812-379-1977

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	06/27/2023

Similar Medicare Providers

1154497964 — PANKRATZ EYE INSTITUTE, LLC
Practice Location Address:

3135 MIDDLE ROAD
COLUMBUS, IN
47203-4472

Practice Phone: 812-373-7777
Practice Fax: 812-373-0772

1043265093 — DR. MICHAEL JOSEPH PANKRATZ M.D.
Practice Location Address:

3135 MIDDLE ROAD
COLUMBUS, IN
47203-4472

Practice Phone: 812-373-7777
Practice Fax: 812-373-0772

1871530642 — PANKRATZ EYE INSTITUTE, LLC
Practice Location Address:

3135 MIDDLE ROAD
COLUMBUS, IN
47203-4472

Practice Phone: 812-373-7777
Practice Fax: 812-373-0772

1346552379 — VERONICA JOLENE TURNER D.D.S.
Practice Location Address:

3105 MIDDLE DR , SUITE A
COLUMBUS, IN
47203-4472

Practice Phone: 812-379-4321
Practice Fax:

1588192157 — PANKRATZ MEDICAL LLC
Practice Location Address:

3135 MIDDLE DR
COLUMBUS, IN
47203-4472

Practice Phone: 812-373-7777
Practice Fax:

1730721499 — TANNER JAMESON MITCHELL DDS
Practice Location Address:

3105 MIDDLE DR STE A
COLUMBUS, IN
47203-4472

Practice Phone: 317-656-0709
Practice Fax: 812-379-1977

Directions to “ DR. JEFF VANDEVENTER D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.