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Active NPI 1326530114 Individual Practitioner Male Practitioner

Dr. Nathan Jandernoa , DDS

Dentist - General Practice • Lansing, MI

Professional Overview & Biography Verified Profile Summary

Dr. Nathan Jandernoa, DDS is a registered healthcare professional specializing in Dentist - General Practice in Lansing, MI. Practice services are available at 2410 LAKE LANSING RD STE 2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2410 Lake Lansing Rd Ste 2

Lansing, MI 489123659

Telephone 5173715342
Fax 5173715320
Associated Practice Facility / Clinic
🏢 Bdd Of Michigan P.c. Facility NPI 1760153720

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lansing, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
92 Specialists

Practicing in Lansing, MI (4360 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 MI 290102264

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
365155275 (MI)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. James Gallagher , DDS

Dentist - General Practice

NPI 1184750200

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 06, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 06, 2018

Registered at 2410 LAKE LANSING RD STE 2, LANSING, MI 489123659 (Tel: 5173715342)

📍
Updated Business Mailing Address June 06, 2018

Registered at 2410 LAKE LANSING RD STE 2, LANSING, MI 489123659 (Tel: 5173715342)

👤
Provider Name / Credentials Updated June 06, 2018

Recorded as NATHAN JANDERNOA, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2018

Dentist (License #290102264 in MI)

🟢
Initial NPI Registration & Enumeration June 06, 2018

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: 1326530114
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2018
Last Update: June 06, 2018
Sole Proprietor: No

Mailing Address

2410 Lake Lansing Rd Ste 2

Lansing, MI 489123659

Phone: 5173715342

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.