National Provider Identifier
Jessica Cheverton Lang, DDS
Jessica Cheverton Lang, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Rochester, NY and a listed phone number of (434) 665-0424.
Profile Overview
- NPI
- 1790143592
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- February 08, 2016
- Last Updated
- December 15, 2020
Practice Location
- 543 Long Pond RD
- Rochester, NY 14612-3073
Phone: (434) 665-0424
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1790143592
- Entity Type
- Individual
- Last Name
- Lang
- First Name
- Jessica
- Middle Name
- Cheverton
- Name Prefix
- Dr.
- Credential
- DDS
- Provider Other Last Name
- Cheverton
- Provider Other First Name
- Jessica
- Provider Other Middle Name
- Lea
- Provider Other Credential Text
- DDS
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 543 Long Pond RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14612-3073
- Mailing Country
- US
- Mailing Phone
- (434) 665-0424
- Practice Street Address
- 543 Long Pond RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14612-3073
- Practice Country
- US
- Practice Phone
- (434) 665-0424
- Enumeration Date
- February 08, 2016
- Last Updated
- December 15, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- December 15, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)