NPI 1154356988

John Reynolds Langston, DDSMS

Practitioner Oral and Maxillofacial Surgery (Dentist) Bourne, MA

Practice location

Address: 114 Waterhouse Rd, Bourne, MA 02532-8340
Phone: (508) 759-4495
Fax: (508) 759-0840

Registered specialties

Oral and Maxillofacial Surgery (Dentist) Primary

Dental Providers Taxonomy 1223S0112X Licence 17624 (MA)

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Registry record

NPI: 1154356988
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jul 2006
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.