| Timothy C. Lang, Dds, Md, Pa | |
|
2030 S Patrick Dr Suite 1 Indian Harbour Beach FL 32937-4400 | |
| (321) 777-2166 | |
| (321) 777-2191 |
| Full Name | Timothy C. Lang, Dds, Md, Pa |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2030 S Patrick Dr, Indian Harbour Beach, Florida |
| Authorized Official Name and Position | Timothy Corrigan Lang (CEO) |
| Authorized Official Contact | 3217772166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy C. Lang, Dds, Md, Pa 2030 S Patrick Dr Suite 1 Indian Harbour Beach FL 32937-4400 Ph: (321) 777-2166 | Timothy C. Lang, Dds, Md, Pa 2030 S Patrick Dr Suite 1 Indian Harbour Beach FL 32937-4400 Ph: (321) 777-2166 |
| NPI Number | 1104032275 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 04/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104032275 | NPI | - | NPPES |
| 791334 | Other | UNITED CONCORDIA ID | |
| 253999300 | Medicaid | FL | |
| 995474 | Other | FL | COMPBENEFITS FACILITY NUM |
| 27225 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | ME0068501 (Florida) | Primary |
Beachside Oral Surgery And Implants Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 E Eau Gallie Blvd, 257, Indian Harbour Beach, FL 32937 Phone: 321-473-8247 | |
Banana River Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 E Eau Gallie Blvd, Suite #e, Indian Harbour Beach, FL 32937 Phone: 321-777-6453 | |
New Image Dentistry Of Beachside Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 E Eau Gallie Blvd, Suite 1, Indian Harbour Beach, FL 32937 Phone: 321-777-7474 Fax: 321-777-7558 | |
Cdpg, P.l. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 S Patrick Dr Ste 1, Indian Harbour Beach, FL 32937 Phone: 321-773-1000 | |
Mercury Free Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2120 Highway A1a, Indian Harbour Beach, FL 32937 Phone: 321-777-2797 Fax: 321-777-6887 | |
Daryl E. Askeland D.m.d.,p.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 S Patrick Dr, Indian Harbour Beach, FL 32937 Phone: 321-773-2333 Fax: 321-773-2338 |