SearchMississippi122300000X

Diana Long, DDS

NPI 1124391347 · on the registry since 2012

Practice

Address
504 Newbury Dr
Madison, MS 39110
Phone
(256) 335-7042

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
390200000X
122300000X
Licence states on file
AL, MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-11-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi