Dr. Charles Randolph Landis
Oral and Maxillofacial Surgeon
2990 Oro Dam Blvd E Ste C
Oroville
, California 95966-5190
Dr. Charles Randolph Landis
Oral and Maxillofacial Surgeon
2990 Oro Dam Blvd E Ste C
Oroville
, California 95966-5190
(530) 893-2451
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Charles Randolph Landis
- 2619 Forest Ave Ste 120
- Chico, CA
- Zip : 95928-4390
- Fax : (530) 893-2451
- Phone : (530) 893-3912
Second Address
- Dr. Charles Randolph Landis
- 2990 Oro Dam Blvd E Ste C
- Oroville, CA
- Zip : 95966-5190
- Fax : (530) 533-3457
- Phone : (530) 533-7900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 31940 | CA |
National Provider Identifier
| NPI | 1063584399 |
|---|---|
| Provider Name | Dr. Charles Randolph Landis |
| First Address | Chico, CA 95928-4390 |
| Second Address | Oroville, CA 95966-5190 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/11/2006 |
| Last Update Date | 04/01/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| B31940 | (05) | CA |
| U34606 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.