Jacob Long, D.D.S.
Dentist, General Practice in Wilmington, NC. Individual provider (NPI-1).
NPI number1407201809
StatusActive
Last updated in NPPESJul 13, 2016
Details
- NPI
- 1407201809
- Entity type
- Individual (NPI-1)
- Name
- Jacob Long
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 4, 2016
- Last updated
- Jul 13, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 10411 | NC | Yes |
Practice location
1611 Greenfield StWilmington, NC 28401-6455
Phone 910-342-9210
Mailing address
1611 Greenfield StWilmington, NC 28401-6455
Phone 910-342-9210
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All 191 General Practice Dentistry providers in Wilmington · All 8,790 providers in Wilmington
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