C. Randy Landis, Dds, Inc.

LBN: C. Randy Landis, Dds, Inc.
C. Randy Landis, Dds, Inc. is an health care organization with primary practice located at 80 Declaration Dr Suite 101, Chico CA 95973-4913. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. C. Randy Landis, Dds, Inc. can be contacted via phone (530) 893-3912, or through Landis, Charles Randy via phone (530) 893-3912.

Contact Information

Primary practice address
80 Declaration Dr Suite 101 Chico CA 95973-4913
Phone: (530) 893-3912
Fax: (530) 893-2451
Website:
Map and Directions
Authorized official contact:
Name: Landis, Charles Randy DDS,OMS
Phone: (530) 893-3912

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 31940 California

Profile Details

NPI number 1306071758
LBN Legal business name C. Randy Landis, Dds, Inc.
DBA Doing business as
Authorized official Landis, Charles Randy DDS,OMS
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2009
Last updated Nov 3rd, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306071758 NPPES
California MEDICAID B31940

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