Long, Sam Jerry

Long, Sam Jerry is an individual health care provider with primary practice located at 6550 Fannin St Ste 2103, Houston TX 77030-2722. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Long, Sam Jerry can be contacted via phone (713) 797-0846.

Contact Information

Primary practice address
6550 Fannin St Ste 2103 Houston TX 77030-2722
Phone: (713) 797-0846
Fax: (713) 797-1314
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8307 Texas

Profile Details

NPI number 1033113915
LBN Legal business name Long, Sam Jerry
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jul 8th, 2007 - about 19 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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