Provider Demographics
NPI:1356966386
Name:CANSLER, LANDON COLE (DMD)
Entity type:Individual
Prefix:DR
First Name:LANDON
Middle Name:COLE
Last Name:CANSLER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2020-06-16
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC118501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice