Jerry J Long DDS PA
NPI #1568784882 in Hazlehurst, Mississippi
Provider Information
- NPI Number
- 1568784882
- Entity Type
- Organization
- Organization Name
- Jerry J Long DDS PA
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Mar 1, 2010
- Last Updated
- Mar 1, 2010
Practice Location
- Address
- 240 CALDWELL DR
- City
- Hazlehurst
- State
- Mississippi
- ZIP Code
- 39083-2723
- Phone
- (601) 894-4732
Authorized Official
- Name
- DR. JERRY J LONG, DDS
- Title
- PRESIDENT
- Phone
- (601) 894-4732
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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