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Deactivated NPI 1902908510 Deactivated / Inactive NPI Male Practitioner

Dr. Sam Ray Landers , DDS

Dentist - General Practice • Luke Afb, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Sam Landers has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 03, 2006
NPI Deactivation Date March 11, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Sam Landers, DDS was a registered Dentist - General Practice practicing in Luke Afb, AZ. Throughout an active medical career spanning 16 years, Dr. Landers provided care at the practice location at 7219 N LITCHFIELD RD until profile deactivation on 2022-03-11.

Practice Location & Contact Primary Location

Practice Address

7219 N Litchfield Rd

Luke Afb, AZ 853091529

Telephone 6238567535
Fax 6238564892
Associated Practice Facility / Clinic
🏢 United States Air Force Facility NPI 1720071608

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Luke Afb, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
7 Specialists

Practicing in Luke Afb, AZ (2600 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 17428

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1013295443

Doctor of Dental Surgery

Dr. Loc Tran , DDS, MS

Dentist - Periodontics

NPI 1033662937

Doctor of Dental Surgery, Master of Science

Dr. Jeffrey Andrus , DDS

Dentist - General Practice

NPI 1104893049

Doctor of Dental Surgery

Dr. Jeffrey Swartz , DDS

Dentist - General Practice

NPI 1598759698

Doctor of Dental Surgery

Dr. William Stentz , DDS

Dentist - Periodontics

NPI 1609971274

Doctor of Dental Surgery

Dr. Christine Kielb , DMD

Dentist - General Practice

NPI 1750366142

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 11, 2022

Record deactivated on March 11, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 7219 N LITCHFIELD RD, LUKE AFB, AZ 853091529 (Tel: 6238567535)

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Updated Business Mailing Address July 08, 2007

Registered at 13625 W ROANOKE AVE, GOODYEAR, AZ 853382237 (Tel: 6232172636)

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Provider Name / Credentials Updated July 08, 2007

Recorded as SAM LANDERS, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #17428 in TX)

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Initial NPI Registration & Enumeration September 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902908510
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 03, 2006
Last Update: July 08, 2007
Deactivation Date: March 11, 2022

Mailing Address

13625 W Roanoke Ave

Goodyear, AZ 853382237

Phone: 6232172636

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.