Provider Demographics
NPI:1346618899
Name:LANGTON, SEAN MICHAEL (DMD)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:MICHAEL
Last Name:LANGTON
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 1:13 BROWNING RD
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02145-2703
Mailing Address - Country:US
Mailing Address - Phone:617-293-0780
Mailing Address - Fax:
Practice Address - Street 1:439 BROADWAY
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:MA
Practice Address - Zip Code:02149-3612
Practice Address - Country:US
Practice Address - Phone:617-944-9627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-14
Last Update Date:2019-07-30
Deactivation Date:2019-06-19
Deactivation Code:
Reactivation Date:2019-07-30
Provider Licenses
StateLicense IDTaxonomies
MADN1856983122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist