# STEVEN L LANG DDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649317629
- **Authorized official:** THERESA LANG (OFFICE MANAGER)
- **Authorized official phone:** (757) 488-8884

## Contact information

- **Practice address:** 6224 PORTSMOUTH BLVD, PORTSMOUTH, VA 23701-1345
- **Practice address phone:** (757) 488-8884
- **Mailing address:** 6224 PORTSMOUTH BLVD, PORTSMOUTH, VA 23701-1345
- **Mailing address phone:** (757) 488-8884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401005645 | VA | Yes |

## Other

- **Enumeration date:** 01/31/2007
- **Last updated:** 07/14/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 006250 | ANTHEM | VA |
| 05 | — | 007801351 | — | VA |
| 01 | — | 849555 | UNITED CONCORDIA | VA |