| Long Dental Dds | |
|
15101 Ford Rd Dearborn MI 48126-4611 | |
| (313) 549-7374 | |
| (888) 788-6467 |
| Full Name | Long Dental Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15101 Ford Rd, Dearborn, Michigan |
| Authorized Official Name and Position | Susan Marie Long (DENTIST) |
| Authorized Official Contact | 3135497374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Dental Dds 15101 Ford Rd Dearborn MI 48126-4611 Ph: (313) 549-7374 | Long Dental Dds 15101 Ford Rd Dearborn MI 48126-4611 Ph: (313) 549-7374 |
| NPI Number | 1285091413 |
|---|---|
| Provider Enumeration Date | 01/19/2016 |
| Last Update Date | 01/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285091413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2901019134 (Michigan) | Primary |
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