Individual
LANDON SEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1265 INTERSTATE DR STE 101, COOKEVILLE, TN 38501-5198
(931) 783-1491
Mailing address
1265 INTERSTATE DR STE 101, COOKEVILLE, TN 38501-5198
(931) 783-1491
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10937
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q049288
—
TN
Enumeration date
04/26/2017
Last updated
08/23/2019
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