Provider Demographics
NPI:1184835134
Name:DR. LEANDER LANIER SR., D.D.S. P.C.
Entity Type:Organization
Organization Name:DR. LEANDER LANIER SR., D.D.S. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:LANIER
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:540-552-0101
Mailing Address - Street 1:200 PROFESSIONAL PARK DR SE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:BLACKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24060-6679
Mailing Address - Country:US
Mailing Address - Phone:540-552-0101
Mailing Address - Fax:
Practice Address - Street 1:200 PROFESSIONAL PARK DR SE
Practice Address - Street 2:SUITE 5
Practice Address - City:BLACKSBURG
Practice Address - State:VA
Practice Address - Zip Code:24060-6679
Practice Address - Country:US
Practice Address - Phone:540-552-0101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty