| Scott Long DMD LLC | |
|
1290 Westgate Pkwy Dothan AL 36303-2153 | |
| (334) 712-1224 | |
| (334) 712-0050 |
| Full Name | Scott Long DMD LLC |
|---|---|
| Speciality | Dentist |
| Location | 1290 Westgate Pkwy, Dothan, Alabama |
| Authorized Official Name and Position | David Scott Long (LLC MANAGER & PRESIDENT) |
| Authorized Official Contact | 3347121224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Long DMD LLC 1290 Westgate Pkwy Dothan AL 36303-2153 Ph: (334) 712-1224 | Scott Long DMD LLC 1290 Westgate Pkwy Dothan AL 36303-2153 Ph: (334) 712-1224 |
| NPI Number | 1750316725 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 07/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750316725 | NPI | - | NPPES |
| 018149 | Other | UNITED CONCORDIA | |
| 143852 | Other | FL | CIGNA DENTAL HMO PLAN |
| 20580 | Other | BCBS ALABAMA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4527 (Alabama) | Primary |
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Al Dental PC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 Montgomery Highway, Dothan, AL 36303 Phone: 334-803-8700 |
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