Healthcare Provider Details

I. General information

NPI: 1811578529
Provider Name (Legal Business Name): DAVID KNOX LANGFORD DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2021
Last Update Date: 07/10/2024
Certification Date: 07/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD
GAINESVILLE FL
32610-4538
US

IV. Provider business mailing address

PO BOX 100426
GAINESVILLE FL
32610-0426
US

V. Phone/Fax

Practice location:
  • Phone: 352-273-7631
  • Fax: 352-392-8195
Mailing address:
  • Phone: 352-273-7631
  • Fax: 352-392-8195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN29304
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number11686
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License NumberDN29304
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: