Provider Demographics
NPI:1770652406
Name:LANGLEY, KARI HUBER (DMD)
Entity Type:Individual
Prefix:DR
First Name:KARI
Middle Name:HUBER
Last Name:LANGLEY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10720 S TRYON ST STE H
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28273-4572
Mailing Address - Country:US
Mailing Address - Phone:704-583-0966
Mailing Address - Fax:704-583-0520
Practice Address - Street 1:10720 S TRYON ST STE H
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28273-4572
Practice Address - Country:US
Practice Address - Phone:704-583-0966
Practice Address - Fax:704-583-0520
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC78641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1841225OtherUNITED CONCORDIA PROV NO