Individual
DR. JOHN REYNOLDS LANGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDSMS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
17624
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16160
HARVARD PILGRIM
MA
01
—
758041
TUFTS
MA
01
—
M20758
MEDICARE GRP
MA
01
—
X06280
BCBS
MA
Enumeration date
07/11/2006
Last updated
07/21/2022
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