MEDICARE: DR. JUDD GARDNER LANGLEY DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0700X	Prosthodontics	21335	TX

General Provider Information

NPI Number	:	1265464812
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUDD GARDNER LANGLEY DDS

Provider Business Mailing Address
First Line	:	100 MEDICAL DR
Second Line	:
City	:	PALESTINE
State	:	TX
Zip	:	75801-4780
Country	:	US
Telephone Number	:	903-729-7286
Fax Number	:	903-729-6395

Provider Business Practice Location Address
First Line	:	100 MEDICAL DR
Second Line	:
City	:	PALESTINE
State	:	TX
Zip	:	75801-4780
Country	:	US
Telephone Number	:	903-729-7286
Fax Number	:	903-729-6395

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	02/22/2026

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