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General NPI Number Information
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NPI Number | 1952836355
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Entity Type | Individual
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Provider Name | JOHN LANKALIS DDS
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Gender | Male
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Dates
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Enumeration Date | 04/24/2017
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 3400 CIVIC CENTER BLVD 4TH FLOOR, SOUTH PAVILION
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City | PHILADELPHIA
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State | PA
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Zip | 19104-5127
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Country | US
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Telephone | 215-662-3580
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Fax | 215-662-7445
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Provider Business Mailing Address
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Address Line | 3400 CIVIC CENTER BLVD 4 SOUTH PAVILION, PERELMAN CENTER
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City | PHILADELPHIA
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State | PA
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Zip | 19104-6110
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Country | US
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Telephone | 215-662-3586
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Fax | 215-662-7445
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DS041284
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License Number State | PA
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