DR. NATHAN JANDERNOA (NPI# 1326530114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326530114 |
| Entity Type | Individual |
| Full Name | DR. NATHAN JANDERNOA |
| Credential | DDS |
| Practice Address |
2410 Lake Lansing Rd Ste 2 Lansing MI 48912-3659 |
| Practice Telephone | 5173715342 |
| Practice Fax Number | 5173715320 |
| Mailing Telephone | 5173715342 |
| Mailing Fax Number | 5173715320 |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2018-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
290102264 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 365155275 | 05 |
| Street Address |
2410 LAKE LANSING RD STE 2 |
| City | LANSING |
| State | MI |
| Zip Code | 48912-3659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316563646 | Shelley Gabel | Surgery | 1200 E Michigan Ave., Sparrow Professional Building Suite 655, Lansing, MI 48912 | 2020-06-23 |
| 1568087237 | Ahmed Mohamed Haggag | Student in an Organized Health Care Education/Training Program | 1215 East Michigan Avenue 3rd Floor, Lansing, MI 48912 | 2020-06-09 |
| 1467074773 | Craig Hargurkirat Malli | Family Medicine | 1215 E Michigan Avenue Suite 245, Lansing, MI 48912 | 2020-05-08 |
| 1215558945 | Temmy J. Brotherson | Family Medicine | Sparrow Health Systems, 1200 E Michigan Avenues, Suite 245, Lansing, MI 48912 | 2020-05-05 |
| 1386265452 | Kyle Patrick Doran | Emergency Medicine | Sparrow Health System, 1215 E Michigan Avenue, Lansing, MI 48912 | 2020-04-30 |
| 1316418841 | Andrea Mcswain Do PC | Obstetrics & Gynecology | 1909 E. Michigan Ave, Lansing, MI 48912 | 2018-12-10 |
| 1215386115 | Michael Vernon Hollis | Student in an Organized Health Care Education/Training Program | 1500 E Michigan Ave, Suite 655, Lansing, MI 48912 | 2016-06-10 |
| 1518333970 | Eastside Community Action Center | Social Worker | 1001 Dakin Street, Suite B, Lansing, MI 48912 | 2015-08-19 |
| 1649667403 | Cheryl Ann Wade | Counselor | 1712 E Michigan Ave., Lansing, MI 48912 | 2015-04-20 |
| 1083006134 | Carol Pratt | Occupational Therapist | 1200 E. Michigan Ave, Outpatient Rehab - Lower Level, Lansing, MI 48912 | 2015-02-26 |
| Find all providers in zip 48912 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881005957 | Dental Dreams Pllc | Dentist | 6109 S Cedar St, Lansing, MI 48911-5714 | 2014-05-12 |
| 1558772632 | Shaheera Afzal | Dentist | 5139 W Saginaw Hwy, Lansing, MI 48917-2635 | 2014-05-12 |
| 1386919660 | Bettman & Bettman Family Dentistry | Dentist | 2909 E Grand River Ave Ste 212, Lansing, MI 48912-4335 | 2012-03-20 |
| 1699045906 | Gene Allen Keessen | Dentist | 3642 Lake St, Lansing, IL 60438-2471 | 2012-01-03 |
| 1598050254 | D2 Dental of Lansing, P.C. | Dentist | 16739 Torrence Ave, Lansing, IL 60438-6018 | 2011-06-10 |
| 1710154174 | Allcare Dental & Dentures of Mi PC | Dentist | 3020 E Saginaw St, Lansing, MI 48912-4746 | 2008-05-14 |
| 1841460227 | William Clare Robertson | Dentist | 4101 S Pennsylvania Ave, Lansing, MI 48910 | 2008-03-03 |
| 1730366931 | Weldon A Burchill | Dentist | 1515 W Mount Hope Ave, Suite 3, Lansing, MI 48910-2664 | 2008-01-30 |
| 1093927360 | Painless Dentistry Iv PC | Dentist | 1808 S Pennsylvania Avenue, Lansing, MI 48910 | 2007-05-07 |
| 1164648192 | John James Hagerty | Dentist | 4912 W St Joe Hwy, Lansing, MI 48917-4090 | 2007-04-18 |
| Find all providers in LANSING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.