Provider Demographics
NPI:1891874392
Name:LANG LANG LANG PC
Entity Type:Organization
Organization Name:LANG LANG LANG PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOC PC
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:J
Authorized Official - Last Name:LANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:610-865-6400
Mailing Address - Street 1:315 EAST ETTWEIN STREET
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-4130
Mailing Address - Country:US
Mailing Address - Phone:610-865-6400
Mailing Address - Fax:610-865-6068
Practice Address - Street 1:315 EAST ETTWEIN STREET
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-4130
Practice Address - Country:US
Practice Address - Phone:610-865-6400
Practice Address - Fax:610-865-6068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS019102L1223G0001X
PADS015656L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty