| Dr. Craig A. Long, D.d.s. | |
|
106 S Main St Vandalia MO 63382-1806 | |
| (573) 594-6166 | |
| (573) 594-2472 |
| Full Name | Dr. Craig A. Long, D.d.s. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 106 S Main St, Vandalia, Missouri |
| Authorized Official Name and Position | Craig A Long (OWNER) |
| Authorized Official Contact | 5735946166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Craig A. Long, D.d.s. 106 S Main St Vandalia MO 63382-1806 Ph: (573) 594-6166 | Dr. Craig A. Long, D.d.s. 106 S Main St Vandalia MO 63382-1806 Ph: (573) 594-6166 |
| NPI Number | 1215984026 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215984026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 013125 (Missouri) | Primary |