Patriot Dental Snead LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PATRIOT DENTAL SNEAD LLC

Practice address

88223 US Highway 278
Snead, AL 35952-9643

Phone

(205) 466-7188

Fax

(205) 466-8188

NPI assigned

Aug 8, 2024

Organization subpart

Yes

Parent organization

PATRIOT DENTAL GUNTERSVILLE LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kenneth Luckie Vandervoort Jr., DMD

Title

Owner

Phone

(205) 466-7188

Specialties & licenses 1

Addresses

Other names 2

• Kenneth Luckie Vandervoort DMD Doing business as
• Patriot Dental Guntersville Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David L Skees, D.M.D

  • General Practice Dentistry
  • Snead, AL
  • NPI 1528105152

  General Practice

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1083445571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 627",
            "city": "SNEAD",
            "state": "AL",
            "postal_code": "359520627",
            "telephone_number": "205-466-7188",
            "fax_number": "205-466-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88223 US HIGHWAY 278",
            "city": "SNEAD",
            "state": "AL",
            "postal_code": "359529643",
            "telephone_number": "205-466-7188",
            "fax_number": "205-466-8188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8065 Al Highway 69",
            "address_purpose": "LOCATION",
            "city": "Guntersville",
            "state": "AL",
            "postal_code": "359767140",
            "country_code": "US",
            "telephone_number": "256-202-1800",
            "fax_number": "256-202-1801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATRIOT DENTAL SNEAD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATRIOT DENTAL GUNTERSVILLE LLC",
        "enumeration_date": "2024-08-08",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "VANDERVOORT",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "LUCKIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-466-7188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenneth Luckie Vandervoort DMD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Patriot Dental Guntersville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Leonard Gibson, MD
• Impact Therapy, Inc
• John M Gentry
• Kelly S Knowles, RPT
• Lauren Loveless, CRNP
• Branden D Sims, CRNP
• David L Skees, D.M.D
• Bethany Jeannine Tucker, NURSE PRACTITIONER
• Wal-Mart Stores East LP

• All providers in Snead, AL
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.