Dr John David Landgren, DDS | |
483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 | |
(602) 528-1200 | |
(602) 528-1255 |
Full Name | Dr John David Landgren |
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Gender | Male |
Speciality | Dentist - Pediatric Dentistry |
Location | 483 W. Seed Farm Rd., Sacaton, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427260744 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 6546 (Colorado) | Secondary |
1223P0221X | Dentist - Pediatric Dentistry | D008855 (Arizona) | Primary |
Entity Name | Gila River Health Care Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376538231 PECOS PAC ID: 0648174185 Enrollment ID: O20031125000648 |
Mailing Address | Practice Location Address |
---|---|
Dr John David Landgren, DDS P.o. Box 38, Sacaton, AZ 85147-0038 Ph: (602) 528-1200 | Dr John David Landgren, DDS 483 W. Seed Farm Rd., Sacaton, AZ 85147-0038 Ph: (602) 528-1200 |
Dr. Kelly M Saunders, DDS Dentist Medicare: Medicare Enrolled Practice Location: 483 W. Seed Farm Rd., Sacaton, AZ 85147 Phone: 602-528-1200 Fax: 602-528-1255 | |
Dr. Nguyet Minh Kha, DDS Dentist Medicare: Medicare Enrolled Practice Location: 483 W. Seed Farm Rd., Sacaton, AZ 85147 Phone: 602-528-1200 Fax: 602-528-1255 | |
Dr. James Craig Aten, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 438 W Seed Farm Rd, Sacaton, AZ 85147 Phone: 602-528-1209 Fax: 602-528-1245 | |
Dr. Robert E Crum, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 483 W. Seed Farm Rd., Sacaton, AZ 85247 Phone: 602-528-1340 Fax: 602-528-1296 | |
Dr. Harry E Youngkin, DMD Dentist Medicare: Medicare Enrolled Practice Location: 483 W. Seed Farm Rd., Sacaton, AZ 85147 Phone: 602-528-1200 Fax: 602-528-1255 | |
Dr. Eva Jenner, DDS Dentist Medicare: Medicare Enrolled Practice Location: 483 W. Seed Farm Rd., Sacaton, AZ 85147 Phone: 602-528-1200 Fax: 602-528-1255 |