Dr. Samuel L. Landa
Dental Public Health Dentist - General Practice
2350 Scenic Dr
Venice
, Florida 34293-1510
Dr. Samuel L. Landa
Dental Public Health Dentist - General Practice
2350 Scenic Dr
Venice
, Florida 34293-1510
(203) 889-7421
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About
Features
Specialties
- Dental Public Health
- General Practice
Languages spoken
- English
Location
First Address
- Dr. Samuel L. Landa
- 310 Martellago Dr
- North Venice, FL
- Zip : 34275-6706
- Phone : (203) 889-7421
Second Address
- Dr. Samuel L. Landa
- 2350 Scenic Dr
- Venice, FL
- Zip : 34293-1510
- Phone : (203) 889-7421
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Is Dr. Samuel L. Landa a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | DN20545 | FL |
| N | 1223G0001X | General Practice | 007977 | CT |
| N | 213EG0000X | General Practice | 007977 | CT |
National Provider Identifier
| NPI | 1528075231 |
|---|---|
| Provider Name | Dr. Samuel L. Landa |
| First Address | North Venice, FL 34275-6706 |
| Second Address | Venice, FL 34293-1510 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/08/2006 |
| Last Update Date | 21/12/2015 |
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.