Randy James Landa in Plymouth - General Practice

Randy James Landa - NPI 1639240161

Randy James Landa is a General Practice in Plymouth, Minnesota. Randy James Landa practices all healthcare services and medical treatments related to General Practice. The NPI Number for Randy James Landa is 1639240161. The last update date is 2007-07-08.

Randy James Landa's current location address is 12805 Highway 55, Plymouth, Minnesota. You can contact this provider via phone number 7635590775 and fax number 7635590776. The mailing address for Randy James Landa is 12805 Highway 55, Plymouth, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Randy James Landa
Address 12805 Highway 55, Plymouth, Minnesota
Phone Number 7635590775
Fax Number 7635590776
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1639240161
Provider Enumeration Date 2006-11-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 12805 Highway 55
City Plymouth
State Minnesota (MN)
Post Code 554413859
Phone Number 7635590775
Fax Number 7635590776

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 11837
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Randy James Landa

What is the Randy James Landa's unique identification number?

The Randy James Landa has been assigned the NPI (National Provider Identifier) Number 1639240161 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Randy James Landa is located?

The Randy James Landa is situated at the following address: 12805 Highway 55, Plymouth, MN, 554413859.

What is the area of specialization for Randy James Landa, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Randy James Landa is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

When did Randy James Landa receive its 1639240161 assignment?

The Randy James Landa was assigned its 1639240161 on 2006-11-13, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Randy James Landa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Randy James Landa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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