| Brett R. Langston, D.m.d. | |
|
1991 N Williamsburg Dr Decatur GA 30033-3500 | |
| (404) 321-4588 | |
| (404) 321-1892 |
| Full Name | Brett R. Langston, D.m.d. |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 1991 N Williamsburg Dr, Decatur, Georgia |
| Authorized Official Name and Position | Brett Langston (OWNER) |
| Authorized Official Contact | 4043214588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brett R. Langston, D.m.d. 1991 N Williamsburg Dr Decatur GA 30033-3500 Ph: (404) 321-4588 | Brett R. Langston, D.m.d. 1991 N Williamsburg Dr Decatur GA 30033-3500 Ph: (404) 321-4588 |
| NPI Number | 1801292750 |
|---|---|
| Provider Enumeration Date | 11/04/2014 |
| Last Update Date | 01/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801292750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN013111 (Georgia) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | DN013111 (Georgia) | Primary |
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