Provider Demographics
NPI:1346235637
Name:LANGDON, DAVID I (DDS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:I
Last Name:LANGDON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 DELLSING DR
Mailing Address - Street 2:
Mailing Address - City:VANDALIA
Mailing Address - State:OH
Mailing Address - Zip Code:45377-1319
Mailing Address - Country:US
Mailing Address - Phone:937-898-3331
Mailing Address - Fax:937-898-0955
Practice Address - Street 1:73 DELLSING DR
Practice Address - Street 2:
Practice Address - City:VANDALIA
Practice Address - State:OH
Practice Address - Zip Code:45377-1319
Practice Address - Country:US
Practice Address - Phone:937-898-3331
Practice Address - Fax:937-898-0955
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH191781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice