Provider Demographics
NPI:1366654626
Name:JANDA, LEONA K (DDS)
Entity Type:Individual
Prefix:DR
First Name:LEONA
Middle Name:K
Last Name:JANDA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:LEONA
Other - Middle Name:K
Other - Last Name:JANDA PARTINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2009 WEST 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:308-382-1328
Practice Address - Street 1:2009 WEST 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:308-382-1328
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE55751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice