DR. Sam Jerry Long, D.D.S.

NPI #1033113915 in Houston, Texas

Provider Information

NPI Number
1033113915
Entity Type
Individual
Name
DR. Sam Jerry Long, D.D.S.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jun 9, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
6550 FANNIN ST
Address 2
STE 2103
State
Texas
ZIP Code
77030-2722
Phone
(713) 797-0846

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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