Long, Joseph

Long, Joseph is an individual health care provider with primary practice located at 611 W Park St , Urbana IL 61801-2529. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Long, Joseph can be contacted via phone (217) 326-1297.

Contact Information

Primary practice address
611 W Park St Urbana IL 61801-2529
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 018.001998 Illinois

Profile Details

NPI number 1447602370
LBN Legal business name Long, Joseph
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2016
Last updated Jul 3rd, 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.

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