Dr David Glenn Long, DDS is a medicare enrolled "Dentist - General Practice" provider in Dorr, Michigan. His current practice location is
1697 142nd Ave, Dorr, Michigan. You can reach out to his office (for appointments etc.) via phone at
(616) 681-9943.
Dr David Glenn Long is licensed to practice in Michigan (license number 015170) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134167315.
Healthcare Provider's Profile
Full Name | Dr David Glenn Long |
---|
Gender | Male |
---|
Speciality | Dentist - General Practice |
---|
Location | 1697 142nd Ave, Dorr, Michigan |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1134167315
- Provider Enumeration Date: 06/02/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4385964113
- Enrollment ID: I20150519002055
Medical Identifiers
Medical identifiers for Dr David Glenn Long such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134167315 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 015170 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr David Glenn Long is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr David Glenn Long, DDS 1697 142nd Ave, Dorr, MI 49323-9426 Ph: (616) 681-9943 | Dr David Glenn Long, DDS 1697 142nd Ave, Dorr, MI 49323-9426 Ph: (616) 681-9943 |
Reviews and Comments