Organization
LANGAN DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS A LANGAN DDS (OWNER/DENTIST)
(570) 587-4227
Entity
Organization
Contact information
Practice address
260 N STATE ST, CLARKS SUMMIT, PA 18411-1058
(570) 587-4227
(570) 319-9754
Mailing address
260 N STATE ST, CLARKS SUMMIT, PA 18411-1058
(570) 587-4227
(570) 319-9754
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
DS026034L
PA
261QD0000X
Dental Clinic/Center
Primary
DS041010
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011103390001
—
PA
05
—
1031357050002
—
PA
Enumeration date
01/06/2017
Last updated
01/06/2017
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