| John Landis Dds, Pa | |
|
472 Jacksonville Dr Jacksonville Beach FL 32250-3812 | |
| (904) 246-6545 | |
| (904) 246-3718 |
| Full Name | John Landis Dds, Pa |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 472 Jacksonville Dr, Jacksonville Beach, Florida |
| Authorized Official Name and Position | John Frederick Landis (DDS) |
| Authorized Official Contact | 9042466545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Landis Dds, Pa 472 Jacksonville Dr Jacksonville Beach FL 32250-3812 Ph: (904) 246-6545 | John Landis Dds, Pa 472 Jacksonville Dr Jacksonville Beach FL 32250-3812 Ph: (904) 246-6545 |
| NPI Number | 1447720651 |
|---|---|
| Provider Enumeration Date | 11/30/2018 |
| Last Update Date | 11/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447720651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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