Provider Demographics
NPI:1952968448
Name:LANDMAN GENERAL AND IMPLANT DENTISTRY, PLLC
Entity Type:Organization
Organization Name:LANDMAN GENERAL AND IMPLANT DENTISTRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:LANDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:845-628-3200
Mailing Address - Street 1:LANDMAN DENTISTRY BY THE LAKE PLLC
Mailing Address - Street 2:21 CLARK PL
Mailing Address - City:MAHOPAC
Mailing Address - State:NY
Mailing Address - Zip Code:10541
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:LANDMAN DENTISTRY BY THE LAKE PLLC
Practice Address - Street 2:21 CLARK PL
Practice Address - City:MAHOPAC
Practice Address - State:NY
Practice Address - Zip Code:10541
Practice Address - Country:US
Practice Address - Phone:845-628-3200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LANDMAN GENERAL AND IMPLANT DENTISTRY, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-05-21
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental