| Bravman Langston And Associates Oral & Maxillofacial Surgery, Llc | |
| 
					114 Waterhouse Rd Bourne MA 02532-8340  | |
| (508) 759-4495 | |
| (508) 759-0840 | 
| Full Name | Bravman Langston And Associates Oral & Maxillofacial Surgery, Llc | 
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery | 
| Location | 114 Waterhouse Rd, Bourne, Massachusetts | 
| Authorized Official Name and Position | John R. Langston (OWNER) | 
| Authorized Official Contact | 5087594495 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Bravman Langston And Associates Oral & Maxillofacial Surgery, Llc 114 Waterhouse Rd Bourne MA 02532-8340 Ph: (508) 759-4495  | Bravman Langston And Associates Oral & Maxillofacial Surgery, Llc 114 Waterhouse Rd Bourne MA 02532-8340 Ph: (508) 759-4495  | 
| NPI Number | 1003089608 | 
|---|---|
| Provider Enumeration Date | 04/04/2008 | 
| Last Update Date | 12/27/2017 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1003089608 | NPI | - | NPPES | 
| DX9762 | Other | MA | MEDICARE PTAN | 
| M20758 | Other | MA | MEDICARE GRP | 
| X11223 | Other | MA | BCBS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary | 
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