| J. Monty Lang, Dds, Pa | |
|
913 Holland Ave Philadelphia MS 39350-2115 | |
| (601) 656-7410 | |
| (601) 656-5052 |
| Full Name | J. Monty Lang, Dds, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 913 Holland Ave, Philadelphia, Mississippi |
| Authorized Official Name and Position | Michelle Lang (TREASURER) |
| Authorized Official Contact | 6016567410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Monty Lang, Dds, Pa Po Box 389 Philadelphia MS 39350-0389 Ph: (601) 656-7410 | J. Monty Lang, Dds, Pa 913 Holland Ave Philadelphia MS 39350-2115 Ph: (601) 656-7410 |
| NPI Number | 1659586287 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 06/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659586287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2736-93 (Mississippi) | Primary |
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