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Bravman Langston and Associates Oral & Maxillofacial Surgery, LLC

Organization Active NPI Oral and Maxillofacial Surgery (Dentist) · Bourne, MA

NPI 1003089608 · NPPES record last updated Dec 27, 2017

Key facts

NPI
1003089608
Entity type
Organization (NPI type 2)
Primary specialty
Oral and Maxillofacial Surgery (Dentist) 1223S0112X
Legal business name
BRAVMAN LANGSTON AND ASSOCIATES ORAL & MAXILLOFACIAL SURGERY, LLC
Practice address
114 Waterhouse Rd
Bourne, MA 02532-8340
Phone
(508) 759-4495
Fax
(508) 759-0840
NPI assigned
Apr 4, 2008
Organization subpart
No

Authorized official

Name
John R. Langston, DDS, MS NPI 1154356988
Title
Owner
Phone
(508) 759-4495

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)
Group: 193200000X MULTI-SPECIALTY GROUP		 1223S0112X Yes

Addresses

Primary practice location

114 Waterhouse Rd
Bourne, MA 02532-8340

Mailing address

114 Waterhouse Rd
Bourne, MA 02532-8340
Phone (508) 759-4495

Other identifiers

IdentifierTypeStateIssuer
DX9762OtherMAMEDICARE PTAN
M20758OtherMAMEDICARE GRP
X11223OtherMABCBS

Other providers in Bourne, MA

All providers in Bourne, MA · Oral and Maxillofacial Surgery (Dentist) in Massachusetts

Sources for this page

Verify at the official NPI Registry.