DR. CORY JOHN LANGE DMD NPI 1053098947

NPI Information

  • NPI: 1053098947
  • Provider Name: DR. CORY JOHN LANGE, DMD
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 5205 S DURANGO DR STE 103
    LAS VEGAS, NV
    ZIP 89113
  • Phone: (702) 384-2828

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NPI Details

DR. Cory John Lange, DMD is a general practice dentist in Las Vegas, NV. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Cory John Lange, DMD NPI is 1053098947. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5205 S DURANGO DR STE 103
LAS VEGAS, NV
ZIP 89113-179
Phone: (702) 384-2828

The enumeration date for this NPI number is 7/3/2023 and was last updated on 7/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice7851NEVADAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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