Provider Demographics
NPI:1538151691
Name:LANGARA, HANS A (DMD, MSD)
Entity type:Individual
Prefix:DR
First Name:HANS
Middle Name:A
Last Name:LANGARA
Suffix:
Gender:M
Credentials:DMD, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190-1310
Mailing Address - Country:US
Mailing Address - Phone:781-331-9200
Mailing Address - Fax:
Practice Address - Street 1:1650 MAIN ST
Practice Address - Street 2:
Practice Address - City:SOUTH WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-1310
Practice Address - Country:US
Practice Address - Phone:781-331-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN201111223E0200X, 1223G0001X
CT0092151223G0001X
RIDEN037191223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No1223G0001XDental ProvidersDentistGeneral Practice