Provider Demographics
NPI:1770058828
Name:LANGSTON, JORDAN ELIZABETH (DMD)
Entity type:Individual
Prefix:DR
First Name:JORDAN
Middle Name:ELIZABETH
Last Name:LANGSTON
Suffix:
Gender:F
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:NAVAL POSTGRADUATE DENTAL SCHOOL 8955 WOOD ROAD
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889-0001
Mailing Address - Country:US
Mailing Address - Phone:301-319-1712
Mailing Address - Fax:
Practice Address - Street 1:NAVAL POSTGRADUATE DENTAL SCHOOL 8955 WOOD ROAD
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0130
Practice Address - Country:US
Practice Address - Phone:301-319-1712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-04
Last Update Date:2025-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD10909122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist