Provider Demographics
NPI:1174660815
Name:VANLANDSCHOOT, TOBY WILLIAM (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:TOBY
Middle Name:WILLIAM
Last Name:VANLANDSCHOOT
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5205 OSPREY RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:LITHIA
Mailing Address - State:FL
Mailing Address - Zip Code:33547-4115
Mailing Address - Country:US
Mailing Address - Phone:813-957-2017
Mailing Address - Fax:
Practice Address - Street 1:7801 DR MARTIN LUTHER KING JR ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-1108
Practice Address - Country:US
Practice Address - Phone:727-525-4499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2019-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN201691223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics