Individual
DR. JEFFREY POWERS LANGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1105 14TH AVE, LONGVIEW, WA 98632-3016
(360) 207-2501
Mailing address
3218 AMMONS DR, LONGVIEW, WA 98632-5371
(650) 776-0840
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9454
SC
122300000X
Dentist
D11264
OR
122300000X
Dentist
Primary
DE61215194
WA
1223G0001X
General Practice Dentistry
D11264
OR
Other
Enumeration date
07/16/2019
Last updated
02/12/2026
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