Provider Demographics
NPI:1619857893
Name:BRADLEY LANGLEY DDS PLLC
Entity type:Organization
Organization Name:BRADLEY LANGLEY DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:LANGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:910-701-1197
Mailing Address - Street 1:1005 MONROE ST STE A
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:NC
Mailing Address - Zip Code:28327-6891
Mailing Address - Country:US
Mailing Address - Phone:910-701-1197
Mailing Address - Fax:910-701-1098
Practice Address - Street 1:1005 MONROE ST STE A
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:NC
Practice Address - Zip Code:28327-6891
Practice Address - Country:US
Practice Address - Phone:910-701-1197
Practice Address - Fax:910-701-1098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-06
Last Update Date:2025-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental