Provider Demographics
NPI:1205892775
Name:LANCTOT, SLOAN GARDINER (DDS)
Entity type:Individual
Prefix:DR
First Name:SLOAN
Middle Name:GARDINER
Last Name:LANCTOT
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 1:6827 N HIGH ST STE 115
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-2517
Mailing Address - Country:US
Mailing Address - Phone:614-885-1191
Mailing Address - Fax:614-885-0677
Practice Address - Street 1:6827 N HIGH ST STE 115
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2517
Practice Address - Country:US
Practice Address - Phone:614-885-1191
Practice Address - Fax:614-885-0677
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-25
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014130721223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics