Organization
PERIODONTICS & IMPLANT DENTISTRY OF ST. PETERSBURG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY G LANGSTON DMD, MSD (PRESIDENT)
(727) 579-8487
Entity
Organization
Contact information
Practice address
8487 4TH ST N, ST PETERSBURG, FL 33702-3609
(727) 579-8487
(727) 578-8500
Mailing address
8487 4TH ST N, ST PETERSBURG, FL 33702-3609
(727) 579-8487
(727) 578-8500
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN9112
FL
Other
Enumeration date
09/25/2006
Last updated
08/22/2020
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