Provider Demographics
NPI:1053445254
Name:DAVID E. JANDA, D.D.S.,P.C.
Entity Type:Organization
Organization Name:DAVID E. JANDA, D.D.S.,P.C.
Other - Org Name:DENTAL HEALTH CARE--DRS. JANDA & JANDA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:E
Authorized Official - Last Name:JANDA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:308-382-8677
Mailing Address - Street 1:2009 W FAIDLEY AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68803-4644
Mailing Address - Country:US
Mailing Address - Phone:308-382-8677
Mailing Address - Fax:
Practice Address - Street 1:2009 W FAIDLEY AVE
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-4644
Practice Address - Country:US
Practice Address - Phone:308-382-8677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental