Individual
JACOB WESLEY LANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 COMMERCE DR STE 901, CORAOPOLIS, PA 15108-4746
(412) 561-9273
Mailing address
9821 ESCHWEILER DR APT 205, MILWAUKEE, WI 53226-5506
(520) 256-4530
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS045577
PA
1223G0001X
General Practice Dentistry
6001486-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2024
Last updated
04/06/2026
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