Long, Jeremiah

Long, Jeremiah is an sole proprietor health care provider with primary practice located at 921 State St , New Haven CT 06511-3926. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Long, Jeremiah can be contacted via phone (203) 858-8292.

Contact Information

Primary practice address
921 State St New Haven CT 06511-3926
Phone: (203) 858-8292
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 7944 Connecticut

Profile Details

NPI number 1518168673
LBN Legal business name Long, Jeremiah
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2007
Last updated Jul 8th, 2007 - about 17 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.

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