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SALLY LANDIS RDA
NPI 1124342654
Dental Assistant in San Rafael, CA

Active since March 26, 2010
411 4TH ST, SAN RAFAEL, CA 94901(415) 473-5450(415) 473-5460 Get Directions Write a Review

NPPES record last updated: March 26, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sally Landis Rda NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SALLY LANDIS RDA (NPI 1124342654) is an individual dental assistant in San Rafael, California, licensed in California (39958) and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1124342654
Entity TypeIndividualFemale
Primary Taxonomy126800000X
Provider Legal NameSALLY LANDISCredential: RDA
Location Address411 4TH STSan Rafael, CA 94901-5716
Mailing Address411 4th StSan Rafael, CA 94901-5716 · (415) 473-5450 · Fax (415) 473-5460
Phone(415) 473-5450
Fax(415) 473-5460
Sole ProprietorNo
Enumeration DateMarch 26, 2010
✔ NPI 1124342654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental AssistantDental Providers
Taxonomy Code126800000X
License✔ Licensed in CA · 39958
Definition
An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
411 4TH ST, San Rafael, CA 94901
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ANN P. ADAMS RDH
Dental Hygienist
411 4TH ST
SAN RAFAEL, CA 94901
Marin County (415) 473-5450
SHARON SHIRADO RDA
Dental Assistant
411 4TH ST
SAN RAFAEL, CA 94901
Marin County (415) 473-5450
DAISY WU
Dentist (General Practice)
411 4TH ST
SAN RAFAEL, CA 94901
Marin County (415) 448-1500
SUZZANE SANCHEZ FERRER-MENDOZA RDH
Dental Hygienist
411 4TH ST
SAN RAFAEL, CA 94901
Marin County (448) 150-0415
TINA GOLDIANO RDHAP
Dental Hygienist
411 4TH ST
SAN RAFAEL, CA 94901
Marin County (415) 473-5450
VICKI LLAVERIAS RDA
Dental Assistant
411 4TH ST
SAN RAFAEL, CA 94901
Marin County (415) 473-5450
TRACY YICK WONG RDH
Dental Hygienist
411 4TH ST
SAN RAFAEL, CA 94901
Marin County (415) 473-5450
SAHM BEHNAM RAFATI
Dentist (General Practice)
411 4TH ST
SAN RAFAEL, CA 94901
Marin County (415) 448-1500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sally Landis's NPI number?

The NPI number for Sally Landis is 1124342654. It was assigned to this individual provider in the NPPES registry on March 26, 2010.

Where is Sally Landis located?

Sally Landis practices at 411 4th St, San Rafael, CA 94901. The listed phone number is (415) 473-5450.

What is Sally Landis's specialty?

The primary specialty registered for this NPI is Dental Assistant with taxonomy code 126800000X.

When was this NPI record last updated?

The NPPES record for Sally Landis was last updated on March 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.