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James R Long (DMD)

Dr. James R Long (DMD) is a health care provider specializes in Dentist.

profile-icon Basic Information

Practice Location 105 Habersham Dr, Suite A, Fayetteville, GA 30414, US
Practice Location Phone770-461-9642
Practice Location Fax770-461-2966
GenderMale
Specialty InDentist
NPI ?1174606743
Entity TypeIndividual
Enumeration Date ? Oct 24, 2006
Last Update Date ? Jul 8, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of James R Long

SpecialtySpecializationLicenseLicense State
DentistOrthodontics and Dentofacial Orthopedics GA8203Georgia

legacy-id-icon Legacy Provider IDs of James R Long

Provider IdIssuer StateIssuer TypeIssuer
14587OtherFORKS
4474ZOtherUNITED CONCORDIA