Provider Demographics
NPI:1538418967
Name:LANDERS AND LANDERS PLLC.
Entity type:Organization
Organization Name:LANDERS AND LANDERS PLLC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHAWNDA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-332-8188
Mailing Address - Street 1:2711 RANDOLPH ROAD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28207-2027
Mailing Address - Country:US
Mailing Address - Phone:704-332-8188
Mailing Address - Fax:704-332-8187
Practice Address - Street 1:2711 RANDOLPH ROAD
Practice Address - Street 2:SUITE 202
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28207-2027
Practice Address - Country:US
Practice Address - Phone:704-332-8188
Practice Address - Fax:704-332-8187
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OASIS DENTISTRY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-08-30
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty