Provider Demographics
NPI:1669447868
Name:LANGFORD, ALLEN KEITH (DDS, MDS)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:KEITH
Last Name:LANGFORD
Suffix:
Gender:M
Credentials:DDS, MDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 FOX RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-3304
Mailing Address - Country:US
Mailing Address - Phone:865-522-0121
Mailing Address - Fax:865-522-0123
Practice Address - Street 1:111 FOX RD
Practice Address - Street 2:SUITE 202
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-3304
Practice Address - Country:US
Practice Address - Phone:865-522-0121
Practice Address - Fax:865-522-0123
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS00000075071223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics