Landron, Joan
Landron, Joan is an sole proprietor health care provider with primary practice located at 169 N Nellis Blvd , Las Vegas NV 89110-5320. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Landron, Joan can be contacted via phone (702) 384-1010.Contact Information
Primary practice address
169 N Nellis Blvd
Las Vegas NV 89110-5320
Phone: (702) 384-1010
Fax: (702) 438-8424
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 047717 | New York |
| Dental Providers / Dentist | 122300000X | 5038 | Nevada |
Profile Details
| NPI number | 1003892126 |
|---|---|
| LBN Legal business name | Landron, Joan |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2005 |
| Last updated | Jun 20th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003892126 | NPPES |
| Nevada | MEDICAID | 1003892126 | |
| Nevada | MEDICAID | 02043089 |
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