Craig C. Longenecker Dds Pa | |
16928 York Rd Monkton MD 21111-1042 | |
(410) 357-0099 | |
Not Available |
Full Name | Craig C. Longenecker Dds Pa |
---|---|
Speciality | Dentist - General Practice |
Location | 16928 York Rd, Monkton, Maryland |
Authorized Official Name and Position | Craig Charles Longenecker (OWNER) |
Authorized Official Contact | 4439047836 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Craig C. Longenecker Dds Pa 16928 York Rd Monkton MD 21111-1042 Ph: (410) 357-0099 | Craig C. Longenecker Dds Pa 16928 York Rd Monkton MD 21111-1042 Ph: (410) 357-0099 |
NPI Number | 1821475633 |
---|---|
Provider Enumeration Date | 04/30/2015 |
Last Update Date | 04/30/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821475633 | NPI | - | NPPES |
11730 | Other | MD | DENTAL LICENSEE |
1932381977 | Other | MD | PERSONAL NPI NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |