Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1497829485 Deactivated / Inactive NPI Male Practitioner

Dr. Jerome Allen Lang , DDS

Dentist - General Practice • Hortonville, WI

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jerome Lang has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 20, 2006
NPI Deactivation Date March 27, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Jerome Lang, DDS was a registered Dentist - General Practice practicing in Hortonville, WI. Throughout an active medical career spanning 19 years, Dr. Lang provided care at the practice location at 105 KELLY WAY until profile deactivation on 2025-03-27.

Practice Location & Contact Primary Location

Practice Address

105 Kelly Way

Hortonville, WI 54944

Telephone 9207794982
Fax 9207790930
Associated Practice Facility / Clinic
🏢 Otter Creek Dental, Llc Facility NPI 1265096812

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Hortonville, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Hortonville, WI (2459 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WI 5001375

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1134523681

Doctor of Dental Surgery

NPI 1871248849

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated March 27, 2025

Record deactivated on March 27, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 105 KELLY WAY, HORTONVILLE, WI 54944 (Tel: 9207794982)

📍
Updated Business Mailing Address July 08, 2007

Registered at 105 KELLY WAY, HORTONVILLE, WI 54944 (Tel: 9207794982)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JEROME LANG, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #5001375 in WI)

🟢
Initial NPI Registration & Enumeration November 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Jerome Lang. Be the first to share your experience!

Sign in to leave a review for Dr. Jerome Lang

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1497829485
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 20, 2006
Last Update: July 08, 2007
Deactivation Date: March 27, 2025

Mailing Address

105 Kelly Way

Hortonville, WI 54944

Phone: 9207794982

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.