Dr. Brett Raymond Langston
Dentist Prosthodontist
1991 N Williamsburg Dr
Decatur
, Georgia 30033-3500
Dr. Brett Raymond Langston
Dentist Prosthodontist
1991 N Williamsburg Dr
Decatur
, Georgia 30033-3500
(706) 877-6526
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About
Features
Specialties
- Dentist
- Prosthodontist
Languages spoken
- English
Location
First Address
- Dr. Brett Raymond Langston
- 1991 N Williamsburg Dr
- Decatur, GA
- Zip : 30033-3500
- Phone : (706) 877-6526
Second Address
- Dr. Brett Raymond Langston
- 1991 N Williamsburg Dr
- Decatur, GA
- Zip : 30033-3500
- Phone : (706) 877-6526
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 122300000X | Dentist | DN01311 | GA |
| N | 1223P0700X | Prosthodontist | DN013111 | GA |
National Provider Identifier
| NPI | 1003895368 |
|---|---|
| Provider Name | Dr. Brett Raymond Langston |
| First Address | Decatur, GA 30033-3500 |
| Second Address | Decatur, GA 30033-3500 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/01/2006 |
| Last Update Date | 11/05/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.