Provider Demographics
NPI:1578341335
Name:RUDOLPH DEAN LANG, PLLC
Entity Type:Organization
Organization Name:RUDOLPH DEAN LANG, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RUDOLPH
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:LANG
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:615-206-2400
Mailing Address - Street 1:318 NORTHCREEK BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-1935
Mailing Address - Country:US
Mailing Address - Phone:615-239-4000
Mailing Address - Fax:
Practice Address - Street 1:318 NORTHCREEK BLVD STE 400
Practice Address - Street 2:
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-1935
Practice Address - Country:US
Practice Address - Phone:615-239-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty