| Craig C. Longenecker Dds Pa | |
|
16928 York Rd Monkton MD 21111-1042 | |
| (410) 357-0099 | |
| Not Available |
| Full Name | Craig C. Longenecker Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16928 York Rd, Monkton, Maryland |
| Authorized Official Name and Position | Craig Charles Longenecker (OWNER) |
| Authorized Official Contact | 4439047836 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Craig C. Longenecker Dds Pa 16928 York Rd Monkton MD 21111-1042 Ph: (410) 357-0099 | Craig C. Longenecker Dds Pa 16928 York Rd Monkton MD 21111-1042 Ph: (410) 357-0099 |
| NPI Number | 1821475633 |
|---|---|
| Provider Enumeration Date | 04/30/2015 |
| Last Update Date | 04/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821475633 | NPI | - | NPPES |
| 11730 | Other | MD | DENTAL LICENSEE |
| 1932381977 | Other | MD | PERSONAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |