Dr. Craig A. Long, D.d.s. | |
106 S Main St Vandalia MO 63382-1806 | |
(573) 594-6166 | |
(573) 594-2472 |
Full Name | Dr. Craig A. Long, D.d.s. |
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Speciality | Dentist - General Practice |
Location | 106 S Main St, Vandalia, Missouri |
Authorized Official Name and Position | Craig A Long (OWNER) |
Authorized Official Contact | 5735946166 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dr. Craig A. Long, D.d.s. 106 S Main St Vandalia MO 63382-1806 Ph: (573) 594-6166 | Dr. Craig A. Long, D.d.s. 106 S Main St Vandalia MO 63382-1806 Ph: (573) 594-6166 |
NPI Number | 1215984026 |
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Provider Enumeration Date | 05/27/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1215984026 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 013125 (Missouri) | Primary |