Dr. John Frederick Landis
Oral and Maxillofacial Surgeon
472 Jacksonville Dr
Jacksonville Beach
, Florida 32250-3812
Dr. John Frederick Landis
Oral and Maxillofacial Surgeon
472 Jacksonville Dr
Jacksonville Beach
, Florida 32250-3812
(904) 246-3718
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. John Frederick Landis
- 472 Jacksonville Dr
- Jacksonville Beach, FL
- Zip : 32250-3812
- Fax : (904) 246-3718
- Phone : (904) 246-6545
Second Address
- Dr. John Frederick Landis
- 472 Jacksonville Dr
- Jacksonville Beach, FL
- Zip : 32250-3812
- Fax : (904) 246-3718
- Phone : (904) 246-6545
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 23434 | TX |
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | DN 21096 | FL |
National Provider Identifier
| NPI | 1043453723 |
|---|---|
| Provider Name | Dr. John Frederick Landis |
| First Address | Jacksonville Beach, FL 32250-3812 |
| Second Address | Jacksonville Beach, FL 32250-3812 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/04/2009 |
| Last Update Date | 14/08/2017 |
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.