Provider Demographics
NPI:1548936388
Name:LANG, ROSS MCCARTNEY (DMD)
Entity type:Individual
Prefix:DR
First Name:ROSS
Middle Name:MCCARTNEY
Last Name:LANG
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2852 SHORE BEND AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-1241
Mailing Address - Country:US
Mailing Address - Phone:318-415-9401
Mailing Address - Fax:
Practice Address - Street 1:13323 HOOPER RD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70818-3526
Practice Address - Country:US
Practice Address - Phone:225-261-8050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-20
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7261122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist