Individual
DR. JOHN REYNOLDS LANGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDSMS
Contact information
Practice address
114 WATERHOUSE RD, BOURNE, MA 02532-8340
(508) 759-4495
(508) 759-0840
Mailing address
114 WATERHOUSE RD, BOURNE, MA 02532-8340
(508) 759-4495
(508) 759-0840
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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