Provider Demographics
NPI:1720670805
Name:SHEALA A LANSDEN DDS PLLC
Entity Type:Organization
Organization Name:SHEALA A LANSDEN DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS
Authorized Official - Prefix:
Authorized Official - First Name:SHEALA
Authorized Official - Middle Name:
Authorized Official - Last Name:LANSDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-724-1524
Mailing Address - Street 1:211 OLD HEWITT RD
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-6560
Mailing Address - Country:US
Mailing Address - Phone:254-399-9000
Mailing Address - Fax:
Practice Address - Street 1:211 OLD HEWITT RD
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-6560
Practice Address - Country:US
Practice Address - Phone:254-399-9000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-09
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty