Long Family Dentistry Inc

LBN: Long Family Dentistry Inc
Long Family Dentistry Inc is an health care organization with primary practice located at 527 Desoto Avenue , Clarksdale MS 38614. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Long Family Dentistry Inc can be contacted via phone (662) 627-2565, or through Long, Robert E via phone (662) 627-2565.

Contact Information

Primary practice address
527 Desoto Avenue Clarksdale MS 38614
Phone: (662) 627-2565
Fax: (662) 627-2524
Website:
Map and Directions
Authorized official contact:
Name: Long, Robert E Doctor of Dental Surgery (DDS)
Phone: (662) 627-2565

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 186980 Mississippi

Profile Details

NPI number 1811050313
LBN Legal business name Long Family Dentistry Inc
DBA Doing business as
Authorized official Long, Robert E Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811050313 NPPES
Mississippi MEDICAID 00064885

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