| Dr. James R. Long | |
|
1280 Highway 74 S 110 Peachtree City GA 30269-3077 | |
| (770) 461-9642 | |
| (770) 461-2966 |
| Full Name | Dr. James R. Long |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1280 Highway 74 S, Peachtree City, Georgia |
| Authorized Official Name and Position | James R. Long (OWNER) |
| Authorized Official Contact | 7704619642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. James R. Long 1280 Highway 74 S 110 Peachtree City GA 30269-3077 Ph: () - | Dr. James R. Long 1280 Highway 74 S 110 Peachtree City GA 30269-3077 Ph: (770) 461-9642 |
| NPI Number | 1255762563 |
|---|---|
| Provider Enumeration Date | 12/12/2013 |
| Last Update Date | 12/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255762563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 8203 (Georgia) | Primary |
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