Healthcare Provider Details

I. General information

NPI: 1629921663
Provider Name (Legal Business Name): JOSEPH LANGFORD RDH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JOEY LANGFORD RDH

II. Dates (important events)

Enumeration Date: 02/18/2026
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2858 KIESEL AVE
OGDEN UT
84401-4218
US

IV. Provider business mailing address

2858 KIESEL AVE
OGDEN UT
84401-4218
US

V. Phone/Fax

Practice location:
  • Phone: 385-300-2905
  • Fax:
Mailing address:
  • Phone: 385-300-2905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number78578989920
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: