Provider Demographics
NPI:1558451997
Name:LANG, ROBERT A JR (DDS)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:A
Last Name:LANG
Suffix:JR
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 1:1859 LAKE ROAD
Mailing Address - Street 2:
Mailing Address - City:HAMLIN
Mailing Address - State:NY
Mailing Address - Zip Code:14464
Mailing Address - Country:US
Mailing Address - Phone:585-964-2000
Mailing Address - Fax:585-964-5735
Practice Address - Street 1:1859 LAKE ROAD
Practice Address - Street 2:
Practice Address - City:HAMLIN
Practice Address - State:NY
Practice Address - Zip Code:14464
Practice Address - Country:US
Practice Address - Phone:585-964-2000
Practice Address - Fax:585-964-5735
Is Sole Proprietor?:No
Enumeration Date:2006-10-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037734122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist