Long Family Dentistry INC

NPI #1811050313 in Clarksdale, Mississippi

Provider Information

NPI Number: 1811050313
Entity Type: Organization
Organization Name: Long Family Dentistry INC
Primary Specialty: Dentist
Enumeration Date: Dec 18, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 527 DESOTO AVENUE
City: Clarksdale
State: Mississippi
ZIP Code: 38614
Phone: (662) 627-2565

Authorized Official

Name: ROBERT E LONG SR., DDS
Title: PRESIDENT DENTIST
Phone: (662) 627-2565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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