Individual provider Active NPI

Gregory Glenn Langston, DMD, MSD

  • Periodontics
  • St Petersburg, FL
National Provider Identifier
1245271857
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN9112 Issued in FL
Practice address
8487 4TH St N
St Petersburg, FL 33702-3609
Phone
(727) 579-8487
Fax
(727) 578-8500
NPI assigned
Jun 8, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DN9112 FL Primary

Addresses

Primary practice location

8487 4TH St N
St Petersburg, FL 33702-3609

Mailing address

8487 4TH St N
St Petersburg, FL 33702-3609
Phone (727) 579-8487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150921002116 FL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 1557678737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN9112FLMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Periodontics & Implant Dentistry of St. Petersburg Periodontics Past Accepting new patients
TDN Dentistry, PLLC Periodontics PastSince Sep 1, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1245271857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8487 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337023609",
            "telephone_number": "727-579-8487",
            "fax_number": "727-578-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8487 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337023609",
            "telephone_number": "727-579-8487",
            "fax_number": "727-578-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGSTON",
        "first_name": "GREGORY",
        "middle_name": "GLENN",
        "credential": "DMD, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN9112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.