Individual
KURTIS WILLIAM LANGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8960 FITNESS LN, FISHERS, IN 46037-8208
(317) 845-9130
Mailing address
8960 FITNESS LN, FISHERS, IN 46037-8208
(317) 845-9130
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012688A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386650497
GENERAL DENTIST
IN
Enumeration date
05/31/2017
Last updated
07/21/2022
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