Provider Demographics
NPI:1285046730
Name:LANGWORTHY, KRISTEN LABIANCA (DDS)
Entity type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:LABIANCA
Last Name:LANGWORTHY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:947 S JUDD PKWY SE
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526
Mailing Address - Country:US
Mailing Address - Phone:919-552-5113
Mailing Address - Fax:919-552-2193
Practice Address - Street 1:947 S JUDD PKWY SE
Practice Address - Street 2:
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526
Practice Address - Country:US
Practice Address - Phone:919-552-5113
Practice Address - Fax:919-552-2193
Is Sole Proprietor?:No
Enumeration Date:2014-06-02
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9748122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist