Provider Demographics
NPI:1255469581
Name:LANGER, IAN JAY (DMD)
Entity Type:Individual
Prefix:DR
First Name:IAN
Middle Name:JAY
Last Name:LANGER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 SAINT PAUL ST
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-2145
Mailing Address - Country:US
Mailing Address - Phone:908-232-7668
Mailing Address - Fax:908-232-7558
Practice Address - Street 1:140 SAINT PAUL ST
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-2145
Practice Address - Country:US
Practice Address - Phone:908-232-7668
Practice Address - Fax:908-232-7558
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI014111001223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics