Provider Demographics
NPI:1710092911
Name:LANG, CURTIS E (DDS)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:E
Last Name:LANG
Suffix:
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 1:134 W STATE STREET
Mailing Address - Street 2:
Mailing Address - City:SYCAMORE
Mailing Address - State:IL
Mailing Address - Zip Code:60178-1472
Mailing Address - Country:US
Mailing Address - Phone:815-895-4571
Mailing Address - Fax:815-895-2356
Practice Address - Street 1:134 W STATE STREET
Practice Address - Street 2:
Practice Address - City:SYCAMORE
Practice Address - State:IL
Practice Address - Zip Code:60178-1472
Practice Address - Country:US
Practice Address - Phone:815-895-4571
Practice Address - Fax:815-895-2356
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist