Provider Demographics
NPI:1346448107
Name:SCHOLES, LANDIS C (DDS)
Entity Type:Individual
Prefix:DR
First Name:LANDIS
Middle Name:C
Last Name:SCHOLES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8010 S HOLLY ST STE 100
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-4011
Mailing Address - Country:US
Mailing Address - Phone:303-694-9400
Mailing Address - Fax:303-694-0557
Practice Address - Street 1:8010 S HOLLY ST STE 100
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-4011
Practice Address - Country:US
Practice Address - Phone:303-694-9400
Practice Address - Fax:303-694-0557
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO78681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice