| Dr Shawn R Long Dds Pc | |
|
16329 State Rd 23 South Bend IN 46635 | |
| (574) 243-8843 | |
| (574) 243-8845 |
| Full Name | Dr Shawn R Long Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 16329 State Rd 23, South Bend, Indiana |
| Authorized Official Name and Position | Patricia L Long (PARTNER) |
| Authorized Official Contact | 5742438843 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shawn R Long Dds Pc 16329 State Rd 23 South Bend IN 46635 Ph: (574) 243-8843 | Dr Shawn R Long Dds Pc 16329 State Rd 23 South Bend IN 46635 Ph: (574) 243-8843 |
| NPI Number | 1346313236 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346313236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12009672 (Indiana) | Primary |
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