Provider Demographics
NPI:1356086003
Name:LANDON C. CANSLER, DMD, PLLC
Entity Type:Organization
Organization Name:LANDON C. CANSLER, DMD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LANDON
Authorized Official - Middle Name:COLE
Authorized Official - Last Name:CANSLER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:828-464-4722
Mailing Address - Street 1:430 W 20TH ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NC
Mailing Address - Zip Code:28658-3732
Mailing Address - Country:US
Mailing Address - Phone:828-464-4722
Mailing Address - Fax:828-464-7889
Practice Address - Street 1:430 W 20TH ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NC
Practice Address - Zip Code:28658-3732
Practice Address - Country:US
Practice Address - Phone:828-464-4722
Practice Address - Fax:828-464-7889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-27
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental