Provider Demographics
NPI:1801025374
Name:LANGSTON, SARAH CRUMBLEY (DMD)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:CRUMBLEY
Last Name:LANGSTON
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 1:11 LAKELAND CIR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216-5006
Mailing Address - Country:US
Mailing Address - Phone:601-981-8166
Mailing Address - Fax:601-981-8166
Practice Address - Street 1:11 LAKELAND CIR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-5006
Practice Address - Country:US
Practice Address - Phone:601-981-8166
Practice Address - Fax:601-981-8166
Is Sole Proprietor?:No
Enumeration Date:2009-07-06
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS3524-09122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist