Dean, Derek Langford

Dean, Derek Langford is an individual health care provider with primary practice located at 2552 Patterson Rd , Grand Junction CO 81505-1422. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Dean, Derek Langford can be contacted via phone (970) 241-1313.

Contact Information

Primary practice address
2552 Patterson Rd Grand Junction CO 81505-1422
Phone: (970) 241-1313
Fax: (970) 245-5202
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X 10050 Colorado

Profile Details

NPI number 1306089990
LBN Legal business name Dean, Derek Langford
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2009
Last updated Jan 10th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306089990 NPPES
Colorado MEDICAID 04609751

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