James Enochs Long, DDS
Dentist, General Practice in Starkville, MS. Individual provider (NPI-1).
NPI number1619084191
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1619084191
- Entity type
- Individual (NPI-1)
- Name
- James Enochs Long
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 80356 | MS | Yes |
Practice location
300 Greensboro StStarkville, MS 39759
Phone 662-323-2876 · Fax 662-323-4876
Mailing address
Po Box 907Starkville, MS 39760-0907
Phone 662-323-2876 · Fax 662-323-4876
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