Long, Diana Marie
Long, Diana Marie is an individual health care provider with primary practice located at 504 Newbury Dr , Madison MS 39110-4574. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Long, Diana Marie can be contacted via phone (256) 335-7042.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / Dentist | 122300000X | 6018 | Alabama |
| Dental Providers / Dentist | 122300000X | 3757 | Mississippi |
Profile Details
| NPI number | 1124391347 |
|---|---|
| LBN Legal business name | Long, Diana Marie |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 18th, 2012 |
| Last updated | Nov 28th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Horecky, John G.
1085 Gluckstadt Rd , Madison MS 39110-9456 -
Cook, Mary Olivia
1 Woodgreen Pl Ste 100 , Madison MS 39110-8161 -
Filgo, Courtney Harwell
119 Colony Crossing Way Suite 780, Madison MS 39110-6322 -
Watters, Gayle
7728 Old Canton Road Suite A, Madison MS 39110 -
Collins, Joseph W
200 Key Dr , Madison MS 39110 -
Ashcraft, Zachary
1896 Main St Ste D , Madison MS 39110-7676 -
Fortenberry, William Coleman
7731 Old Canton Rd Ste A , Madison MS 39110-6115 -
Hauptman, Robert J.
1716 Highway 51 Ste G , Madison MS 39110-5020