| Jerry J Long Dds Pa | |
|
240 Caldwell Dr Hazlehurst MS 39083-2723 | |
| (601) 894-4732 | |
| (601) 894-4732 |
| Full Name | Jerry J Long Dds Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 240 Caldwell Dr, Hazlehurst, Mississippi |
| Authorized Official Name and Position | Jerry J Long (PRESIDENT) |
| Authorized Official Contact | 6018944732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry J Long Dds Pa Po Box 587 Hazlehurst MS 39083-0587 Ph: (601) 894-4732 | Jerry J Long Dds Pa 240 Caldwell Dr Hazlehurst MS 39083-2723 Ph: (601) 894-4732 |
| NPI Number | 1568784882 |
|---|---|
| Provider Enumeration Date | 03/01/2010 |
| Last Update Date | 03/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568784882 | NPI | - | NPPES |
| 09015478 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 925-59 (Mississippi) | Primary |
Gamblin Orthodontics Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Caldwell Dr, Hazlehurst, MS 39083 Phone: 601-894-4732 | |
Carl Anthony Boykin, Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 S Extension St, Hazlehurst, MS 39083 Phone: 601-894-4244 Fax: 601-894-4344 | |
Copiah Comprehensive Health Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 Caldwell Drive, Hazlehurst, MS 39083 Phone: 601-894-1448 Fax: 601-894-2903 | |
Taylor Campbell, Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 331 W Gallatin St, Hazlehurst, MS 39083 Phone: 601-894-1634 Fax: 601-894-1635 | |
Smile Design Orthodontics, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1047 W Gallman Rd, Hazlehurst, MS 39083 Phone: 601-955-7844 |