Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANE MICHAEL LANGOLF, DMD
Active Sole ProprietorDR. SHANE MICHAEL LANGOLF, DMD is a General Dentistry healthcare provider located in MARYSVILLE, Michigan. NPI 1194716670 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · MARYSVILLE, MI
Registration Details
- NPI Number
- 1194716670
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 2, 2005 (20.792758728623 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2901019292 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1616 GRATIOT BLVDMARYSVILLE, MI, 480401181Browse MI providers · Browse ZIP 48040
- Phone
- 8103647601
- Fax
- 8103649010
- Primary Specialty
-
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.