| Robert D. Long DDS, PA | |
|
11111 Nall Ave Ste 109 Leawood KS 66211-1625 | |
| (913) 491-3353 | |
| (913) 491-1042 |
| Full Name | Robert D. Long DDS, PA |
|---|---|
| Speciality | Dentist |
| Location | 11111 Nall Ave Ste 109, Leawood, Kansas |
| Authorized Official Name and Position | Robert D Long (PRESIDENT/DENTIST) |
| Authorized Official Contact | 9134913353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert D. Long DDS, PA 11111 Nall Ave Ste 109 Leawood KS 66211-1625 Ph: (913) 491-3353 | Robert D. Long DDS, PA 11111 Nall Ave Ste 109 Leawood KS 66211-1625 Ph: (913) 491-3353 |
| NPI Number | 1780043018 |
|---|---|
| Provider Enumeration Date | 02/15/2016 |
| Last Update Date | 02/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780043018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | KS 6019 (Kansas) | Primary |
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