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:
Health care specialties
Specialty | Code | License # | 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 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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