Provider Demographics
NPI:1710001342
Name:LANG, HOLBERT C II (DDS,PA)
Entity Type:Individual
Prefix:DR
First Name:HOLBERT
Middle Name:C
Last Name:LANG
Suffix:II
Gender:M
Credentials:DDS,PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1623 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-5815
Mailing Address - Country:US
Mailing Address - Phone:828-586-4141
Mailing Address - Fax:828-631-0557
Practice Address - Street 1:1623 E MAIN ST
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-5815
Practice Address - Country:US
Practice Address - Phone:828-586-4141
Practice Address - Fax:828-631-0557
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice