TIMOTHY C. LANG, DDS, MD, PA
NPI 1104032275
Dentist - Oral and Maxillofacial Surgery in Indian Harbour Beach, FL

Q: What is Timothy C. Lang, Dds, MD, PA's NPI number?

The NPI number for Timothy C. Lang, Dds, MD, PA is 1104032275. It was assigned to this organization in the NPPES registry on May 15, 2007.

Q: What is Timothy C. Lang, Dds, MD, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since May 15, 2007

2030 S PATRICK DR, SUITE 1, INDIAN HARBOUR BEACH, FL 32937(321) 777-2166(321) 777-2191 Get Directions Write a Review

NPPES record last updated: April 13, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Timothy C. Lang, Dds, Md, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY C. LANG, DDS, MD, PA (NPI 1104032275) is a healthcare organization registered as an oral and maxillofacial surgery in Indian Harbour Beach, Florida and active in the NPI registry since May 2007. The organization lists Timothy Corrigan Lang, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104032275

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameTIMOTHY C. LANG, DDS, MD, PA

Location Address2030 S PATRICK DR, SUITE 1Indian Harbour Beach, FL 32937-4400

Mailing Address2030 S Patrick Dr, Suite 1Indian Harbour Beach, FL 32937-4400 · (321) 777-2166 · Fax (321) 777-2191

Phone(321) 777-2166

Fax(321) 777-2191

Organization SubpartNo

Authorized OfficialTimothy Corrigan LangCeo · (321) 777-2166

Enumeration DateMay 15, 2007

Last NPPES UpdateApril 13, 2016

✔ NPI 1104032275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in FL · ME0068501

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

2030 S PATRICK DR, Indian Harbour Beach, FL 32937

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Other Identifiers 6

Other995474FL · Compbenefits Facility Num

Medicare PINGL607AFL

Other791334United Concordia Id

Other27225FL · Blue Cross Blue Shield

Medicaid253999300FL

Medicare UPINF73185FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ALLYSEN RAINIER PT, DPT

Physical Therapist

2030 S PATRICK DR
INDIAN HARBOUR BEACH, FL 32937

Brevard County (321) 727-2707

JESSICA DIANE RASSMANN PT, DPT

Physical Therapist

2030 S PATRICK DR, STE 3
INDIAN HARBOUR BEACH, FL 32937

Brevard County (321) 773-8155

MR. JEREMY STEWART MPT

Physical Therapist

2030 S PATRICK DR, STE 3
INDIAN HARBOUR BEACH, FL 32937

Brevard County (321) 773-8155

MS. VENNITA C. WALDROP PT

Physical Therapist

2030 S PATRICK DR, STE 3
INDIAN HARBOUR BEACH, FL 32937

Brevard County (321) 773-8155

MR. CHRISTOPHER M. WICKER PT, DPT, OTR/L

Physical Therapist

2030 S PATRICK DR, STE 3
INDIAN HARBOUR BEACH, FL 32937

Brevard County (321) 773-8155

MS. LISA M SITEK MPT

Physical Therapist

2030 S PATRICK DR
INDIAN HARBOUR BEACH, FL 32937

Brevard County (321) 727-2707

DR. TIMOTHY CORRIGAN LANG DDS, MD, PHD

Dentist (Oral and Maxillofacial Surgery)

2030 S PATRICK DR, SUITE 1
INDIAN HARBOUR BEACH, FL 32937

Brevard County (321) 777-2166

MARCUS DANIEL DOBBINS DPT

Physical Therapist

2030 S PATRICK DR, STE 3
INDIAN HARBOUR BEACH, FL 32937

Brevard County (321) 773-8155

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy C. Lang, Dds, MD, PA's NPI number?

The NPI number for Timothy C. Lang, Dds, MD, PA is 1104032275. It was assigned to this organization in the NPPES registry on May 15, 2007.

Where is Timothy C. Lang, Dds, MD, PA located?

Timothy C. Lang, Dds, MD, PA is located at 2030 S Patrick Dr Suite 1, Indian Harbour Beach, FL 32937. The listed phone number is (321) 777-2166.

What is Timothy C. Lang, Dds, MD, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Timothy C. Lang, Dds, MD, PA was last updated on April 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.