David Scott Long Dmd LLC

NPI #1750316725 in Dothan, Alabama

Provider Information

NPI Number: 1750316725
Entity Type: Organization
Organization Name: David Scott Long Dmd LLC
Primary Specialty: Dentist
Enumeration Date: Jul 11, 2006
Last Updated: Jul 23, 2014

Practice Location

Address: 1290 WESTGATE PKWY
City: Dothan
State: Alabama
ZIP Code: 36303-2153
Phone: (334) 712-1224

Authorized Official

Name: DR. DAVID SCOTT LONG, DMD LLC
Title: LLC MANAGER & PRESIDENT
Phone: (334) 712-1224

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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