Provider Demographics
NPI:1477862399
Name:J. ALEX RANG DDS PC
Entity Type:Organization
Organization Name:J. ALEX RANG DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ALEX
Authorized Official - Last Name:RANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:812-867-2414
Mailing Address - Street 1:6700 DARMSTADT RD
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47710-4614
Mailing Address - Country:US
Mailing Address - Phone:812-867-2414
Mailing Address - Fax:812-867-0814
Practice Address - Street 1:6700 DARMSTADT RD
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47710-4614
Practice Address - Country:US
Practice Address - Phone:812-867-2414
Practice Address - Fax:812-867-0814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-27
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty