Landmark Dental Group, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019019614 Issued in IL

Legal business name

LANDMARK DENTAL GROUP, P.C.

Practice address

1605 Hunt Dr
Normal, IL 61761-2122

Phone

(309) 454-7344

Fax

(309) 452-9969

NPI assigned

May 14, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Holly D Beer

Title

Office Manager

Phone

(309) 454-7344

Specialties & licenses 1

Addresses

Tax ID family

Landmark Dental Group PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Landmark Dental Group PC

  • Dentist
  • Normal, IL
  • NPI 1760644363
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Scott Beer, D.D.S.

  • General Practice Dentistry
  • Normal, IL
  • NPI 1528311354
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1265609689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 HUNT DR",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617612122",
            "telephone_number": "309-454-7344",
            "fax_number": "309-452-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 HUNT DR",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617612122",
            "telephone_number": "309-454-7344",
            "fax_number": "309-452-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK DENTAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "BEER",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "309-454-7344",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019019614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Marie Lamb, DPT
• Jacleen A Lampert, ATC
• Katelyn Marie Lamps
• David K Landess, OPTOMETRIST
• Landmark Dental Group PC
• Jennifer Lynn Lanz, APRN, CNP
• Annette M Larsen, LCPC
• Andrea Lasser, CRNA
• Daniel Stephen Lau, M.D.
• Kevin Laudner, PHD, ATC

• General Practice Dentistry in Normal, IL
• Providers in Normal, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.