| Longview Family Dental | |
|
410 N 3rd St Longview TX 75601-6507 | |
| (903) 753-2633 | |
| Not Available |
| Full Name | Longview Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 410 N 3rd St, Longview, Texas |
| Authorized Official Name and Position | William Robert Jennings (OWNER) |
| Authorized Official Contact | 9402068956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Longview Family Dental 410 N 3rd St Longview TX 75601-6507 Ph: (903) 753-2633 | Longview Family Dental 410 N 3rd St Longview TX 75601-6507 Ph: (903) 753-2633 |
| NPI Number | 1376959379 |
|---|---|
| Provider Enumeration Date | 07/10/2014 |
| Last Update Date | 07/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376959379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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