Provider Demographics
NPI:1861505729
Name:LANGNER, JENNIFER JOURDAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:JOURDAN
Last Name:LANGNER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:966 CHAPEL CT N
Mailing Address - Street 2:
Mailing Address - City:GLEN ELLYN
Mailing Address - State:IL
Mailing Address - Zip Code:60137-6455
Mailing Address - Country:US
Mailing Address - Phone:630-858-3411
Mailing Address - Fax:630-545-9155
Practice Address - Street 1:586 DUANE ST STE 301
Practice Address - Street 2:
Practice Address - City:GLEN ELLYN
Practice Address - State:IL
Practice Address - Zip Code:60137-4639
Practice Address - Country:US
Practice Address - Phone:630-469-0296
Practice Address - Fax:630-545-9155
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice