Provider Demographics
NPI:1225418130
Name:LANGLEY, MAGDALENA MARIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:MAGDALENA
Middle Name:MARIA
Last Name:LANGLEY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 PINE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:WHISPERING PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28327-6998
Mailing Address - Country:US
Mailing Address - Phone:973-800-8470
Mailing Address - Fax:
Practice Address - Street 1:292 TURNER ST STE B
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:NC
Practice Address - Zip Code:28315-2363
Practice Address - Country:US
Practice Address - Phone:910-505-9062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-05
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NC103261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program