Provider Demographics
NPI:1013127125
Name:LANG, FRANCIS H JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:H
Last Name:LANG
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 MCCUTCHEON CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-3300
Mailing Address - Country:US
Mailing Address - Phone:732-671-2018
Mailing Address - Fax:
Practice Address - Street 1:100 MARKET ST
Practice Address - Street 2:
Practice Address - City:PERTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08861-4412
Practice Address - Country:US
Practice Address - Phone:732-826-5638
Practice Address - Fax:732-826-9011
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI013970001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice