DR. GENNADY LANDA DDS MD NPI 1639334212

NPI Information

  • NPI: 1639334212
  • Provider Name: DR. GENNADY LANDA, DDS, MD
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 44441 16TH ST W STE 103
    LANCASTER, CA
    ZIP 93534
  • Phone: (661) 945-4040

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NPI Details

DR. Gennady Landa, DDS, MD is an oral and maxillofacial surgery dentist in Lancaster, CA. The provider is an oral and maxillofacial surgery dentist specialized in 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. DR. Gennady Landa, DDS, MD NPI is 1639334212. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

44441 16TH ST W STE 103
LANCASTER, CA
ZIP 93534-873
Phone: (661) 945-4040

The NPI 1639334212 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/23/2008 and was last updated on 12/2/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryA115339CALIFORNIANo
21223S0112XDentistOral and Maxillofacial Surgery53917CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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