Dr Jerrod D Long, DDS is a
Dentist - General Practice based in Bisbee, Arizona. Dr Jerrod D Long is licensed to practice in Arizona (license number 5037) and his current practice location is
#2 Naco Road, Bisbee, Arizona. He can be reached at his office (for appointments etc.) via phone at
(520) 432-5370.
NPI number for Dr Jerrod D Long is 1356493829 and his current mailing address is #2 Naco Road, Box 1898, Bisbee, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356493829.
Healthcare Provider's Profile
| Full Name | Dr Jerrod D Long |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | #2 Naco Road, Bisbee, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1356493829
- Provider Enumeration Date: 01/17/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Jerrod D Long such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356493829 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 5037 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jerrod D Long is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jerrod D Long, DDS
#2 Naco Road, Box 1898,
Bisbee, AZ 85603-2898
Ph: (520) 432-5371 | Dr Jerrod D Long, DDS
#2 Naco Road,
Bisbee, AZ 85603-2898
Ph: (520) 432-5370 |
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