DR. CHARLES RANDOLPH LANDIS D.D.S. O.M.S. NPI 1063584399

NPI Details

DR. Charles Randolph Landis, D.D.S., O.M.S. is an oral and maxillofacial surgery dentist in Oroville, CA with 43 years of experience. 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. Charles Randolph Landis, D.D.S., O.M.S. NPI is 1063584399. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOMA LINDA UNIVERSITY SCHOOL OF DENTISTRY
Graduation Year:1983

The provider's business location address is:

2990 ORO DAM BLVD E
STE C
OROVILLE, CA
ZIP 95966-190
Phone: (530) 533-7900
Fax: (530) 533-3457

The NPI 1063584399 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).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)

The enumeration date for this NPI number is 11/14/2006 and was last updated on 1/4/2018.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.