DR. WILLIAM ROBERT LANGENDERFER (NPI# 1952397879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952397879 |
Entity Type | Individual |
Full Name | DR. WILLIAM ROBERT LANGENDERFER |
Credential | DDS |
Practice Address |
505 N Jackson St Jackson MI 49201-1266 |
Practice Telephone | 5177485500 |
Practice Fax Number | 5177809286 |
Mailing Telephone | 5177485500 |
Mailing Fax Number | 5177809286 |
Enumeration Date | 2005-09-26 |
Last Update Date | 2012-12-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
2901011245 | MI | Dental Providers |
N | 1223G0001X |
Dentist Specialization: General Practice |
30-01-5078 | OH | Dental Providers |
Street Address |
505 N JACKSON ST |
City | JACKSON |
State | MI |
Zip Code | 49201-1266 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457357055 | Miraflor Reyes | Pediatrics | 505 N Jackson St, Jackson, MI 49201-1266 | 2005-06-28 |
1205441193 | Alexis Roe | Pharmacist | 505 N Jackson St, Jackson, MI 49201-1266 | 2020-09-09 |
1760004824 | Heather Rae Shoffstall Mcalvey | Student in an Organized Health Care Education/Training Program | 505 N Jackson St, Jackson, MI 49201-1266 | 2020-05-12 |
1003456955 | Karen Lizeth Hernandez Martinez | Social Worker | 505 N Jackson St, Jackson, MI 49201-1266 | 2020-01-08 |
1720552078 | Leon Puttler | Psychologist | 505 N Jackson St, Jackson, MI 49201-1266 | 2019-01-18 |
1265918924 | Jenna Prater | Pharmacist | 505 N Jackson St, Jackson, MI 49201-1266 | 2018-07-16 |
1467938449 | Jaskarandeep Singh | Student in an Organized Health Care Education/Training Program | 505 N Jackson St, Jackson, MI 49201-1266 | 2018-07-13 |
1215423744 | Gurpinderjit Virk | Student in an Organized Health Care Education/Training Program | 505 N Jackson St, Jackson, MI 49201-1266 | 2018-07-09 |
1528554052 | Supreet Bains | Student in an Organized Health Care Education/Training Program | 505 N Jackson St, Jackson, MI 49201-1266 | 2018-07-09 |
1053807578 | Mahad Rayale | Student in an Organized Health Care Education/Training Program | 505 N Jackson St, Jackson, MI 49201-1266 | 2018-07-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
Find all providers in zip 49201 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518584952 | Katherine Olivia Hughes | Dentist | 1189 Vann Dr, Jackson, TN 38305-6098 | 2020-07-01 |
1144845991 | Gregory Derrick Meredith | Dentist | 190 Water St Ste 2, Jackson, OH 45640-1384 | 2020-06-08 |
1033771852 | Robert E Scheddin | Dentist | 2046 W County Line Rd Ste 2, Jackson, NJ 08527-2034 | 2019-07-01 |
1649839291 | Andrew Harris | Dentist | 4505 I-55 Frontage Rd. N, Jackson, MS 39206 | 2019-06-07 |
1780145912 | Dr Lashawn Steptoe Family Dentistry | Dentist | 500 E Woodrow Wilson Ave Ste N, Jackson, MS 39216-4538 | 2019-03-29 |
1720571334 | Christina Holy Mcrae | Dentist | 3000 Old Canton Rd Ste 515, Jackson, MS 39216-4235 | 2018-06-08 |
1275024192 | Brianne Elizabeth Mezo | Dentist | 1500 W Parnall Rd, Jackson, MI 49201-8660 | 2018-05-26 |
1407343254 | West Tennessee Dentistry Pllc | Dentist | 1108 Whitehall St, Jackson, TN 38301-3730 | 2018-04-17 |
1073014338 | Helping Hands of Middle & West Tennessee | Dentist | 1408 N Highland Ave Ste 101, Jackson, TN 38301-3450 | 2018-02-22 |
1942730429 | Patrice Nicole Griffith | Dentist | 1189 E County Line Rd Ste 1010, Jackson, MS 39211-1836 | 2017-06-15 |
Find all providers in JACKSON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.