DR. GENNADY LANDA (NPI# 1639334212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639334212 |
| Entity Type | Individual |
| Full Name | DR. GENNADY LANDA |
| Credential | DDS, MD |
| Practice Address |
44439 N. 17th Street West Suite 102 Lancaster CA 93534 |
| Practice Telephone | 6619454040 |
| Mailing Telephone | 6619454040 |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2011-08-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
53917 | CA | Dental Providers |
| N | 208600000X | Surgery | A115339 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083893770 | Gennady Landa | Special Hospital | 321 E 13th St Apt 7a, New York, NY 10003-5818 | 2007-10-30 |
| Street Address |
44439 N. 17TH STREET WEST SUITE 102 |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
| 1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
| 1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
| 1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
| 1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
| 1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
| 1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
| 1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
| Find all providers in zip 93534 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356834675 | Gennady Landa, Dds, Md, Inc. | Dentist | 44439 17th St W Ste 102, Lancaster, CA 93534-2854 | 2018-06-12 |
| 1871766832 | Keystone Oral and Facial Surgery, P.C. | Dentist | 2100 Harrisburg Pike Bldg 2106, Suite 22, Lancaster, PA 17601-2644 | 2008-04-10 |
| 1609967348 | Kenneth Warren Malone | Dentist | 44439 N. 17th St W Suite 102, Lancaster, CA 93534 | 2006-09-27 |
| 1578576914 | Kenneth W. Malone, Dds, PC | Dentist | 44439 17th St West #102, Lancaster, CA 93534 | 2006-08-15 |
| 1891724761 | Eric M. Katch | Dentist | 1000 Rohrerstown Road, Lancaster, PA 17601-2644 | 2006-07-02 |
| 1659314649 | Brian A Stern | Dentist | 609 E Chestnut St, Lancaster, OH 43130-3900 | 2006-06-14 |
| 1679104574 | Eagles Oral Surgery | Dentist | 221 Rohrerstown Rd, Lancaster, PA 17603-2230 | 2020-01-29 |
| 1497269492 | Gregory C. Michaels D.d.s., M.s. Oral & Maxillofacial Surgery,inc. | Dentist | 823 N Columbus St, Lancaster, OH 43130-2549 | 2017-11-29 |
| 1861913949 | Lancaster Oral Surgery Group, LLC | Dentist | 1834 Oregon Pike Ste 21, Lancaster, PA 17601-6463 | 2017-06-29 |
| 1588084206 | Bishara Dental | Dentist | 525 W Pleasant Run Rd, 200, Lancaster, TX 75146-1576 | 2014-04-21 |
| Find all providers in LANCASTER | ||||
Please comment or provide details below to improve the information on DR. GENNADY LANDA.
| 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.