Provider Demographics
NPI:1013048966
Name:LANGWITH, DENNIS K (DDS)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:K
Last Name:LANGWITH
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 1:6105 NW 86TH ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131-2240
Mailing Address - Country:US
Mailing Address - Phone:515-253-0911
Mailing Address - Fax:515-331-6652
Practice Address - Street 1:6105 NW 86TH ST
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:IA
Practice Address - Zip Code:50131-2240
Practice Address - Country:US
Practice Address - Phone:515-253-0911
Practice Address - Fax:515-331-6652
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA063911223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics